| Madison Dental Dre Pllc | |
|
308 Highland Park Dr Ste 8174 Richmond KY 40475-3487 | |
| (859) 626-9851 | |
| Not Available |
| Full Name | Madison Dental Dre Pllc |
|---|---|
| Speciality | Dentist |
| Location | 308 Highland Park Dr Ste 8174, Richmond, Kentucky |
| Authorized Official Name and Position | Elizabeth Davis (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Dre Pllc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Madison Dental Dre Pllc 308 Highland Park Dr Ste 8174 Richmond KY 40475-3487 Ph: (859) 626-9851 |
| NPI Number | 1063263028 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063263028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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