| W Bruce Combest Psc | |
|
402 Richmond Rd Suite C Berea KY 40403 | |
| (859) 986-4661 | |
| (859) 986-3579 |
| Full Name | W Bruce Combest Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 402 Richmond Rd, Berea, Kentucky |
| Authorized Official Name and Position | William Bruce Combest (DOCTOR PRESIDENT) |
| Authorized Official Contact | 8599864661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Bruce Combest Psc 402 Richmond Rd Suite C Berea KY 40403 Ph: (859) 986-4661 | W Bruce Combest Psc 402 Richmond Rd Suite C Berea KY 40403 Ph: (859) 986-4661 |
| NPI Number | 1548336985 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548336985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4573 (Kentucky) | Primary |
| 124Q00000X | Dental Hygienist | 615 (Kentucky) | Secondary |
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