Dhda Hebron, Pllc | |
1930 Petersburg Rd Hebron KY 41048-8291 | |
(859) 586-5620 | |
Not Available |
Full Name | Dhda Hebron, Pllc |
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Speciality | Dentist |
Location | 1930 Petersburg Rd, Hebron, Kentucky |
Authorized Official Name and Position | Paul T Lavelle (CLINICAL DIRECTOR) |
Authorized Official Contact | 2039216141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dhda Hebron, Pllc 5404 Farm Ridge Ln Prospect KY 40059-7617 Ph: (203) 921-6141 | Dhda Hebron, Pllc 1930 Petersburg Rd Hebron KY 41048-8291 Ph: (859) 586-5620 |
NPI Number | 1851984439 |
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Provider Enumeration Date | 02/16/2021 |
Last Update Date | 02/16/2021 |
Identifier | Type | State | Issuer |
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1851984439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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