| White & White Family Dentistry Psc | |
|
6045 Kentucky Dam Rd Paducah KY 42003-9472 | |
| (270) 898-6215 | |
| (270) 898-6504 |
| Full Name | White & White Family Dentistry Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6045 Kentucky Dam Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Kelvin L White (PRESIDENT) |
| Authorized Official Contact | 2708986215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White & White Family Dentistry Psc 6045 Kentucky Dam Rd Paducah KY 42003-9472 Ph: (270) 898-6215 | White & White Family Dentistry Psc 6045 Kentucky Dam Rd Paducah KY 42003-9472 Ph: (270) 898-6215 |
| NPI Number | 1740655356 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740655356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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