Clinton Dental Clinic,inc. | |
201 S Washington St Clinton KY 42031-1440 | |
(270) 653-4600 | |
(270) 653-2778 |
Full Name | Clinton Dental Clinic,inc. |
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Speciality | Dentist - General Practice |
Location | 201 S Washington St, Clinton, Kentucky |
Authorized Official Name and Position | Rickey Allan Canty (OWNER-DENTIST) |
Authorized Official Contact | 2706534600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinton Dental Clinic,inc. Po Box 217 Clinton KY 42031-0217 Ph: (270) 653-4600 | Clinton Dental Clinic,inc. 201 S Washington St Clinton KY 42031-1440 Ph: (270) 653-4600 |
NPI Number | 1073679866 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 03/14/2014 |
Identifier | Type | State | Issuer |
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1073679866 | NPI | - | NPPES |
6004384100 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4384 (Kentucky) | Primary |