Young Smiles Pediatric Dentistry- Southgate Pllc | |
525 Alexandria Pike Ste 330 Southgate KY 41071-3243 | |
(859) 781-4100 | |
(859) 781-0170 |
Full Name | Young Smiles Pediatric Dentistry- Southgate Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 525 Alexandria Pike Ste 330, Southgate, Kentucky |
Authorized Official Name and Position | Alexandra Mayes Young (OWNER) |
Authorized Official Contact | 8597814100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Young Smiles Pediatric Dentistry- Southgate Pllc 525 Alexandria Pike Ste 330 Southgate KY 41071-3243 Ph: (859) 781-4100 | Young Smiles Pediatric Dentistry- Southgate Pllc 525 Alexandria Pike Ste 330 Southgate KY 41071-3243 Ph: (859) 781-4100 |
NPI Number | 1467223651 |
---|---|
Provider Enumeration Date | 01/16/2024 |
Last Update Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467223651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |