Robert L. Henderson, D.m.d Psc | |
903 Main St West Liberty KY 41472-1023 | |
(606) 743-7480 | |
(606) 743-7481 |
Full Name | Robert L. Henderson, D.m.d Psc |
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Speciality | Clinic/center - Dental |
Location | 903 Main St, West Liberty, Kentucky |
Authorized Official Name and Position | Robert L Henderson (OFFICE MANAGER) |
Authorized Official Contact | 6067437480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert L. Henderson, D.m.d Psc 903 Main St West Liberty KY 41472-1023 Ph: (606) 743-7480 | Robert L. Henderson, D.m.d Psc 903 Main St West Liberty KY 41472-1023 Ph: (606) 743-7480 |
NPI Number | 1073775771 |
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Provider Enumeration Date | 06/25/2008 |
Last Update Date | 08/25/2008 |
Identifier | Type | State | Issuer |
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1073775771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Jeffrey S. Bailey, Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Main St, West Liberty, KY 41472 Phone: 606-743-3200 Fax: 606-743-3201 |