Lebanon Junction Dental Center, Pllc | |
11737 S Preston Hwy Lebanon Junction KY 40150-8420 | |
(502) 833-4664 | |
Not Available |
Full Name | Lebanon Junction Dental Center, Pllc |
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Speciality | Clinic/center - Dental |
Location | 11737 S Preston Hwy, Lebanon Junction, Kentucky |
Authorized Official Name and Position | Stephen James (CFO) |
Authorized Official Contact | 5022548504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lebanon Junction Dental Center, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Lebanon Junction Dental Center, Pllc 11737 S Preston Hwy Lebanon Junction KY 40150-8420 Ph: (502) 833-4664 |
NPI Number | 1104198019 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 03/09/2012 |
Identifier | Type | State | Issuer |
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1104198019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 4935 (Kentucky) | Primary |
Mortenson Family Dental Center-lebanon Junction, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11737 S Preston Hwy, Lebanon Junction, KY 40150 Phone: 502-833-4664 |