Radcliff Family Dental Care | |
299 West Lincoln Trail Blvd Suite 102 Radcliff KY 40160 | |
(270) 352-5566 | |
(270) 352-5602 |
Full Name | Radcliff Family Dental Care |
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Speciality | Dentist |
Location | 299 West Lincoln Trail Blvd, Radcliff, Kentucky |
Authorized Official Name and Position | Angela R Shelton (DENTIST OWNER) |
Authorized Official Contact | 2703525566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radcliff Family Dental Care Po Box 778 Radcliff KY 40159-0778 Ph: (270) 352-5566 | Radcliff Family Dental Care 299 West Lincoln Trail Blvd Suite 102 Radcliff KY 40160 Ph: (270) 352-5566 |
NPI Number | 1427151059 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 07/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427151059 | NPI | - | NPPES |
551702 | Other | KY | UNITED CONCORDIA TRICARE |
6000338 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7521 (Kentucky) | Primary |
Deveaux Dental Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 N. Wilson Rd, Radcliff, KY 40160 Phone: 270-352-4343 Fax: 270-352-2323 | |
Susan M. King, D.m.d. And Associates, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Lincoln Trail Blvd, Suite 43, Radcliff, KY 40160 Phone: 270-351-6201 Fax: 270-351-6276 | |
Ernest O. Skaggs Dmd,psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Lincoln Trail Blvd, Suite 25, Radcliff, KY 40160 Phone: 270-351-3265 Fax: 270-351-3557 |