| Pdos Dre Llc | |
|
141 Stonecrest Rd Ste 1 Shelbyville KY 40065-8165 | |
| (502) 633-4441 | |
| Not Available |
| Full Name | Pdos Dre Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 141 Stonecrest Rd Ste 1, Shelbyville, 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 |
|---|---|
| Pdos Dre Llc 105 Spruce St Lexington KY 40507-2109 Ph: (859) 533-1109 | Pdos Dre Llc 141 Stonecrest Rd Ste 1 Shelbyville KY 40065-8165 Ph: (502) 633-4441 |
| NPI Number | 1659144285 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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