| Dr Kelley 'corky' Deaton Iii, DMD | |
|
359 S 4th St, Suite C, Danville, KY 40422-2078 | |
| (859) 236-5703 | |
| (859) 936-1916 |
| Full Name | Dr Kelley 'corky' Deaton Iii |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 359 S 4th St, Danville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851441802 | NPI | - | NPPES |
| 45601382 | Other | KY | EPSDT DENTAL ID |
| 61-1180059 | Other | KY | TAX ID |
| 60058435 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5843 (Kentucky) | Primary |
| 122300000X | Dentist | 5843 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley 'corky' Deaton Iii, DMD 359 S 4th St, Suite C, Danville, KY 40422-2078 Ph: (859) 236-5703 | Dr Kelley 'corky' Deaton Iii, DMD 359 S 4th St, Suite C, Danville, KY 40422-2078 Ph: (859) 236-5703 |
Dr. Garrett Sendor, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 Skywatch Dr Ste A, Danville, KY 40422 Phone: 859-394-0291 | |
Mrs. Earlene F Greene, DMD Dentist Medicare: Medicare Enrolled Practice Location: 201 West Walnut Street, Danville, KY 40422 Phone: 859-236-1898 Fax: 859-236-2169 | |
Dr. Carolyn S Moody, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 303 S 4th St, Suite 200, Danville, KY 40422 Phone: 859-236-8448 Fax: 859-239-8909 | |
Amanda Elizabeth Grace, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1080 Ben Ali Drive, Suite A, Danville, KY 40422 Phone: 859-236-6900 | |
Dr. Sarah J Iqbal, DMD Dentist Medicare: Medicare Enrolled Practice Location: 132 N Second Street, Danville Family Dentistry, Danville, KY 40422 Phone: 859-236-2488 Fax: 859-236-1647 | |
Dr. Christopher Lee Bostick, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 122 Daniel Dr, Danville, KY 40422 Phone: 859-236-1810 Fax: 859-236-1802 | |
Dr. Jessica Lynn Popplewell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 132 North 2nd St, Danville, KY 40422 Phone: 859-236-2488 Fax: 859-236-1647 |