| James L O Connor Dmd | |
|
25 Agin Way Milton KY 40045-1509 | |
| (502) 268-3192 | |
| Not Available |
| Full Name | James L O Connor Dmd |
|---|---|
| Speciality | Dentist |
| Location | 25 Agin Way, Milton, Kentucky |
| Authorized Official Name and Position | James L O Connor (DENTIST) |
| Authorized Official Contact | 5022685903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James L O Connor Dmd 25 Agin Way Milton KY 40045-1509 Ph: (502) 268-3192 | James L O Connor Dmd 25 Agin Way Milton KY 40045-1509 Ph: (502) 268-3192 |
| NPI Number | 1952385999 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952385999 | NPI | - | NPPES |
| 61941373 | Medicaid | KY | |
| 60054038 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5403 (Kentucky) | Primary |
Milton Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Agin Way, Milton, KY 40045 Phone: 502-268-3192 Fax: 502-268-5903 |