| Proffesional Corporation | |
|
405 E Perry Street Louisa KY 41230 | |
| (606) 638-4445 | |
| (606) 638-4446 |
| Full Name | Proffesional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 E Perry Street, Louisa, Kentucky |
| Authorized Official Name and Position | James D Lester (DENTIST OWNER) |
| Authorized Official Contact | 6066384445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proffesional Corporation 405 E Perry Street Po Box 156 Louisa KY 41230 Ph: (606) 638-4445 | Proffesional Corporation 405 E Perry Street Louisa KY 41230 Ph: (606) 638-4445 |
| NPI Number | 1275610834 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275610834 | NPI | - | NPPES |
| 60055894 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5589 (Kentucky) | Primary |
Charles Sammons, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Water Street, Louisa, KY 41230 Phone: 606-638-3400 Fax: 606-638-3410 | |
Louisa Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S. Water St, Louisa, KY 41230 Phone: 606-638-4689 Fax: 606-483-8005 |