Broadway Denture Center | |
1412 North Broadway Suite 203 Lexington KY 40505 | |
(859) 253-6817 | |
(859) 283-6817 |
Full Name | Broadway Denture Center |
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Speciality | Dentist |
Location | 1412 North Broadway, Lexington, Kentucky |
Authorized Official Name and Position | James Edward Oaks (OWNER) |
Authorized Official Contact | 8597454045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broadway Denture Center 1412 North Broadway Suite 203 Lexington KY 40505 Ph: (859) 253-6817 | Broadway Denture Center 1412 North Broadway Suite 203 Lexington KY 40505 Ph: (859) 253-6817 |
NPI Number | 1821243676 |
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Provider Enumeration Date | 11/20/2008 |
Last Update Date | 11/20/2008 |
Identifier | Type | State | Issuer |
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1821243676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (Kentucky) | Primary |
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