| Elkhorn Dental Psc | |
|
155 E Main St Elkhorn City KY 41522-9043 | |
| (606) 754-0155 | |
| (606) 754-0151 |
| Full Name | Elkhorn Dental Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 155 E Main St, Elkhorn City, Kentucky |
| Authorized Official Name and Position | James D Justice (OWNER/PRESIDENT) |
| Authorized Official Contact | 6067540155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhorn Dental Psc Po Box 1500 Elkhorn City KY 41522-1500 Ph: (606) 754-0155 | Elkhorn Dental Psc 155 E Main St Elkhorn City KY 41522-9043 Ph: (606) 754-0155 |
| NPI Number | 1467010629 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467010629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Elkhorn Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Main St, Elkhorn City, KY 41522 Phone: 606-754-0155 Fax: 606-754-0151 |