| Healthy Smiles Family Dental Care, Pllc | |
|
1927 Irvin Cobb Dr Suite 1 Paducah KY 42003-2105 | |
| (270) 442-6617 | |
| (270) 442-0089 |
| Full Name | Healthy Smiles Family Dental Care, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1927 Irvin Cobb Dr, Paducah, Kentucky |
| Authorized Official Name and Position | Tiffany Jean Riley (GENERAL DENTIST) |
| Authorized Official Contact | 2702058197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Family Dental Care, Pllc 75 Riley Cir Calvert City KY 42029-7803 Ph: (270) 703-8874 | Healthy Smiles Family Dental Care, Pllc 1927 Irvin Cobb Dr Suite 1 Paducah KY 42003-2105 Ph: (270) 442-6617 |
| NPI Number | 1790167500 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790167500 | NPI | - | NPPES |
| 7100006580 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8378 (Kentucky) | Primary |
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