| Braces Braces Braces | |
|
1415 Main Street Shelbyville KY 40065-8126 | |
| (502) 633-4613 | |
| (502) 633-0048 |
| Full Name | Braces Braces Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1415 Main Street, Shelbyville, Kentucky |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces Braces Braces Po Box 437169 Louisville KY 40253-7169 Ph: (502) 633-4613 | Braces Braces Braces 1415 Main Street Shelbyville KY 40065-8126 Ph: (502) 633-4613 |
| NPI Number | 1083888978 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083888978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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