| Dennis Alan Hise, Psc | |
|
1028 N College St Harrodsburg KY 40330-2227 | |
| (859) 734-5437 | |
| (859) 734-5437 |
| Full Name | Dennis Alan Hise, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1028 N College St, Harrodsburg, Kentucky |
| Authorized Official Name and Position | Deborah D Hise (SECRETARY,TREASURER,OFFICE MANAGER) |
| Authorized Official Contact | 8597345437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Alan Hise, Psc Po Box 104 1028 North College St. Harrodsburg KY 40330-0104 Ph: (859) 734-5437 | Dennis Alan Hise, Psc 1028 N College St Harrodsburg KY 40330-2227 Ph: (859) 734-5437 |
| NPI Number | 1881710820 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881710820 | NPI | - | NPPES |
| 6194092000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4264 (Kentucky) | Primary |
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