| Colgan Pediatric Dentistry | |
|
2850 Lone Oak Rd Ste 1 Paducah KY 42003-8043 | |
| (270) 554-0124 | |
| (270) 554-0124 |
| Full Name | Colgan Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2850 Lone Oak Rd Ste 1, Paducah, Kentucky |
| Authorized Official Name and Position | Dana Michelle Walls (OFFICE MANAGER) |
| Authorized Official Contact | 2705543131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colgan Pediatric Dentistry 2850 Lone Oak Rd Ste 1 Paducah KY 42003-8043 Ph: (270) 554-0124 | Colgan Pediatric Dentistry 2850 Lone Oak Rd Ste 1 Paducah KY 42003-8043 Ph: (270) 554-0124 |
| NPI Number | 1770072860 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770072860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (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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