Kids First Dental Care, Llc | |
119 Pine St Barbourville KY 40906-1517 | |
(606) 546-7410 | |
(606) 545-7261 |
Full Name | Kids First Dental Care, Llc |
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Speciality | Dentist - General Practice |
Location | 119 Pine St, Barbourville, Kentucky |
Authorized Official Name and Position | Edwin E. Smith (OWNER) |
Authorized Official Contact | 6065467410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids First Dental Care, Llc 119 Pine St Barbourville KY 40906-1517 Ph: (606) 546-7410 | Kids First Dental Care, Llc 119 Pine St Barbourville KY 40906-1517 Ph: (606) 546-7410 |
NPI Number | 1366645749 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 04/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366645749 | NPI | - | NPPES |
61901070 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6381 (Kentucky) | Primary |
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Kids First Dental Services, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Pine St, Barbourville, KY 40906 Phone: 606-546-7410 Fax: 606-545-7261 | |
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