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1481 Cavalry Drive Suite 100 Florence KY 41042 | |
| (859) 282-8844 | |
| (859) 283-8742 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1481 Cavalry Drive, Florence, Kentucky |
| Authorized Official Name and Position | Jeri L Stull (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 8592828844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1481 Cavalry Drive Suite 100 Florence KY 41042 Ph: (859) 282-8844 | 1481 Cavalry Drive Suite 100 Florence KY 41042 Ph: (859) 282-8844 |
| NPI Number | 1669903910 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669903910 | NPI | - | NPPES |
| 1275552408 | Other | KY | INSURANCE |
| 1104831759 | Other | KY | INSURANCE |
| 1124151048 | Other | GA | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7053 (Kentucky) | Primary |
Marc L. Marlette, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7303 Us Highway 42, Florence, KY 41042 Phone: 859-283-0033 | |
Alex Mayes Young Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Us 42, Florence, KY 41042 Phone: 859-525-2100 Fax: 502-742-0666 | |
Shelley Shearer Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6909 Burlington Pike, Suite A, Florence, KY 41042 Phone: 859-647-7068 Fax: 859-647-7038 | |