| Dentistry For Children | |
|
1012 Ival James Blvd Suite C Richmond KY 40475-8174 | |
| (859) 626-9620 | |
| (859) 626-9622 |
| Full Name | Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1012 Ival James Blvd, Richmond, Kentucky |
| Authorized Official Name and Position | Erin Gobble (OFFICE MANAGER) |
| Authorized Official Contact | 8596269620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children 1012 Ival James Blvd Suite C Richmond KY 40475-8174 Ph: (859) 626-9620 | Dentistry For Children 1012 Ival James Blvd Suite C Richmond KY 40475-8174 Ph: (859) 626-9620 |
| NPI Number | 1184729873 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184729873 | NPI | - | NPPES |
| 61901088 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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