Immediadent | |
70 Carothers Rd Newport KY 41071-2416 | |
(859) 878-1481 | |
(913) 752-9116 |
Full Name | Immediadent |
---|---|
Speciality | Dentist - General Practice |
Location | 70 Carothers Rd, Newport, Kentucky |
Authorized Official Name and Position | Monica L Long (MANAGER OF CREDENTIALING) |
Authorized Official Contact | 9134281686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1686 | Immediadent 70 Carothers Rd Newport KY 41071-2416 Ph: (859) 878-1481 |
NPI Number | 1295248912 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 11/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295248912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kentucky Metro Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Carothers Rd, Newport, KY 41071 Phone: 859-514-0554 |