Breckenridge Dental Care | |
3348 Hikes Ln Ste 107 Louisville KY 40220-2000 | |
(502) 451-5222 | |
(502) 451-5263 |
Full Name | Breckenridge Dental Care |
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Speciality | Clinic/center - Dental |
Location | 3348 Hikes Ln Ste 107, Louisville, Kentucky |
Authorized Official Name and Position | Paul E King (MEMBER) |
Authorized Official Contact | 5024515222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Breckenridge Dental Care 3348 Hikes Ln Ste 107 Louisville KY 40220-2000 Ph: (502) 451-5222 | Breckenridge Dental Care 3348 Hikes Ln Ste 107 Louisville KY 40220-2000 Ph: (502) 451-5222 |
NPI Number | 1841315207 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 04/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841315207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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