| Broadway Dental Care, Pllc | |
|
2018 Broadway St Paducah KY 42001-7108 | |
| (270) 443-9099 | |
| (270) 443-9052 |
| Full Name | Broadway Dental Care, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2018 Broadway St, Paducah, Kentucky |
| Authorized Official Name and Position | Kathy R Slaughter (VICE PRESIDENT) |
| Authorized Official Contact | 2704439099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Care, Pllc 2018 Broadway St Paducah KY 42001-7108 Ph: (270) 443-9099 | Broadway Dental Care, Pllc 2018 Broadway St Paducah KY 42001-7108 Ph: (270) 443-9099 |
| NPI Number | 1316396732 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316396732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Broadway Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Broadway, Paducah, KY 42001 Phone: 270-443-9099 Fax: 270-443-9052 | |
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Broadway Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Broadway St, Paducah, KY 42001 Phone: 270-443-9099 Fax: 270-443-9052 |