| Crofton Dental Center Pllc | |
|
115 E Mill St Crofton KY 42217-8021 | |
| (270) 424-5999 | |
| (270) 424-5522 |
| Full Name | Crofton Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 E Mill St, Crofton, Kentucky |
| Authorized Official Name and Position | Marty Edward Gamble (DENTIST) |
| Authorized Official Contact | 2704245999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crofton Dental Center Pllc 115 E Mill St Crofton KY 42217-8021 Ph: (270) 424-5999 | Crofton Dental Center Pllc 115 E Mill St Crofton KY 42217-8021 Ph: (270) 424-5999 |
| NPI Number | 1982904637 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982904637 | NPI | - | NPPES |
| 60000304 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7523 (Kentucky) | Primary |