| Breathitt Dental Clinic Psc | |
|
221 Highway 15 S Jackson KY 41339-9600 | |
| (606) 666-4020 | |
| (606) 666-4021 |
| Full Name | Breathitt Dental Clinic Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 221 Highway 15 S, Jackson, Kentucky |
| Authorized Official Name and Position | Roger Campbell (OWNER) |
| Authorized Official Contact | 6066664020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathitt Dental Clinic Psc Po Box 854 Hazard KY 41702-0854 Ph: (606) 666-4020 | Breathitt Dental Clinic Psc 221 Highway 15 S Jackson KY 41339-9600 Ph: (606) 666-4020 |
| NPI Number | 1942577697 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942577697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6753 (Kentucky) | Primary |
Breathitt County Family Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 1484 Lakeside Drive, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Dr. Rodney B. Griffith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Highway 15 N, Jackson, KY 41339 Phone: 606-666-2966 Fax: 606-666-7526 |