| Family Dental Care Of Kentucky Psc | |
|
502 Mount Eden Road Shelbyville KY 40065 | |
| (502) 633-1538 | |
| (502) 633-9445 |
| Full Name | Family Dental Care Of Kentucky Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 Mount Eden Road, Shelbyville, Kentucky |
| Authorized Official Name and Position | Samuel Gregory Benanti (OWNER SOLE SHAREHOLDER PRESIDENT) |
| Authorized Official Contact | 5022548745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Of Kentucky Psc 802 Kinross Place Louisville KY 40243 Ph: (502) 254-8745 | Family Dental Care Of Kentucky Psc 502 Mount Eden Road Shelbyville KY 40065 Ph: (502) 633-1538 |
| NPI Number | 1770680761 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770680761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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