| Deveaux Dental Care Center | |
|
309 N. Wilson Rd Radcliff KY 40160-2194 | |
| (270) 352-4343 | |
| (270) 352-2323 |
| Full Name | Deveaux Dental Care Center |
|---|---|
| Speciality | Dentist |
| Location | 309 N. Wilson Rd, Radcliff, Kentucky |
| Authorized Official Name and Position | Errol Deveaux (CEO) |
| Authorized Official Contact | 2703524343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deveaux Dental Care Center 309 N. Wilson Rd Radcliff KY 40160-2194 Ph: (270) 352-4343 | Deveaux Dental Care Center 309 N. Wilson Rd Radcliff KY 40160-2194 Ph: (270) 352-4343 |
| NPI Number | 1043483100 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043483100 | NPI | - | NPPES |
| 6006705500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6705 (Kentucky) | Primary |
Radcliff Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 West Lincoln Trail Blvd, Suite 102, Radcliff, KY 40160 Phone: 270-352-5566 Fax: 270-352-5602 | |
Susan M. King, D.m.d. And Associates, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Lincoln Trail Blvd, Suite 43, Radcliff, KY 40160 Phone: 270-351-6201 Fax: 270-351-6276 | |
Ernest O. Skaggs Dmd,psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Lincoln Trail Blvd, Suite 25, Radcliff, KY 40160 Phone: 270-351-3265 Fax: 270-351-3557 |