| Kentucky River Dentistry, Psc | |
|
161 Richmond Rd Irvine KY 40336-7222 | |
| (606) 723-4112 | |
| (606) 723-5372 |
| Full Name | Kentucky River Dentistry, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 161 Richmond Rd, Irvine, Kentucky |
| Authorized Official Name and Position | Jane Jordan (DENTIST) |
| Authorized Official Contact | 6067234112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky River Dentistry, Psc 161 Richmond Rd Irvine KY 40336-7222 Ph: (606) 723-4112 | Kentucky River Dentistry, Psc 161 Richmond Rd Irvine KY 40336-7222 Ph: (606) 723-4112 |
| NPI Number | 1821131954 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821131954 | NPI | - | NPPES |
| 61900221 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6144 (Kentucky) | Primary |
Irvine Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 934 Richmond Rd, Irvine, KY 40336 Phone: 606-723-1000 Fax: 606-723-1039 | |
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 |