Kevin R Jordan Dmd Inc | |
154 Scott St Olive Hill KY 41164 | |
(606) 286-4121 | |
Not Available |
Full Name | Kevin R Jordan Dmd Inc |
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Speciality | Dentist |
Location | 154 Scott St, Olive Hill, Kentucky |
Authorized Official Name and Position | Kevin R Jordan (OWNER) |
Authorized Official Contact | 6062864121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kevin R Jordan Dmd Inc Po Box 562 Olive Hill KY 41164 Ph: (606) 286-4121 | Kevin R Jordan Dmd Inc 154 Scott St Olive Hill KY 41164 Ph: (606) 286-4121 |
NPI Number | 1447473939 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 09/03/2014 |
Identifier | Type | State | Issuer |
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1447473939 | NPI | - | NPPES |
60068681 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 6868 (Kentucky) | Primary |