| Dental Health Professionals Of Kentucky, P.s.c. | |
|
3564 Willow Way Shepherdsville KY 40165-8984 | |
| (502) 955-1606 | |
| Not Available |
| Full Name | Dental Health Professionals Of Kentucky, P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3564 Willow Way, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Professionals Of Kentucky, P.s.c. 3564 Willow Way Shepherdsville KY 40165-8984 Ph: () - | Dental Health Professionals Of Kentucky, P.s.c. 3564 Willow Way Shepherdsville KY 40165-8984 Ph: (502) 955-1606 |
| NPI Number | 1386269611 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386269611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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North Bullitt Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3564 Willow Way, Shepherdsville, KY 40165 Phone: 502-955-1606 Fax: 502-955-1439 | |
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