| Ky Dental Professionals Ii Psc | |
|
1836 Broadway St Paducah KY 42001-2708 | |
| (270) 442-0256 | |
| (270) 442-8730 |
| Full Name | Ky Dental Professionals Ii Psc |
|---|---|
| Speciality | Dentist |
| Location | 1836 Broadway St, Paducah, Kentucky |
| Authorized Official Name and Position | Katie Workman (ANALYST, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 4402411931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ky Dental Professionals Ii Psc Po Box 306208 Nashville TN 37230-6208 Ph: (615) 620-5990 | Ky Dental Professionals Ii Psc 1836 Broadway St Paducah KY 42001-2708 Ph: (270) 442-0256 |
| NPI Number | 1851830723 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851830723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Broadway Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Broadway, Paducah, KY 42001 Phone: 270-443-9099 Fax: 270-443-9052 | |
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