| Irvine Family Dentistry | |
|
934 Richmond Rd Irvine KY 40336-7230 | |
| (606) 723-1000 | |
| (606) 723-1039 |
| Full Name | Irvine Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 934 Richmond Rd, Irvine, Kentucky |
| Authorized Official Name and Position | Jason W Gay (DENTIST PRESIDENT OWNER) |
| Authorized Official Contact | 6067231000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Family Dentistry 934 Richmond Rd Irvine KY 40336-7230 Ph: (606) 723-1000 | Irvine Family Dentistry 934 Richmond Rd Irvine KY 40336-7230 Ph: (606) 723-1000 |
| NPI Number | 1184780066 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184780066 | NPI | - | NPPES |
| ANTHEM | Other | KY | ANTHEM PROVIDER NUMBER |
| 61943775 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7138 (Kentucky) | Primary |
Psc A Sub S Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 87 Wildwood Place, Irvine, KY 40336 Phone: 606-723-3213 Fax: 606-723-3213 | |
Kentucky River Dentistry, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Richmond Rd, Irvine, KY 40336 Phone: 606-723-4112 Fax: 606-723-5372 |