| Dayton Kdc Pllc | |
|
225 Main St Ste 400 Dayton TN 37321-1329 | |
| (423) 428-9234 | |
| (423) 428-9270 |
| Full Name | Dayton Kdc Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 225 Main St Ste 400, Dayton, Tennessee |
| Authorized Official Name and Position | Marcy Lynette Kay (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4237629992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Kdc Pllc 225 Main St Ste 400 Dayton TN 37321-1329 Ph: (423) 428-9234 | Dayton Kdc Pllc 225 Main St Ste 400 Dayton TN 37321-1329 Ph: (423) 428-9234 |
| NPI Number | 1699417139 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699417139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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