Clinton Dental Clinic,inc.

NPI 1073679866 - Dentist - 1223G0001X

NPI Details
NPI 1073679866
Enumeration Date 12/28/2006
Last Updated 03/14/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICKEY ALLAN RICKEY
Position OWNER-DENTIST
Phone (270) 653-4600
Fax (270) 653-2778
Practice Location
201 S WASHINGTON ST
CLINTON KY, 42031-1440, US
Phone (270) 653-4600
Fax (270) 653-2778
Business Location
PO BOX 217
CLINTON KY, 42031-0217, US
Phone (270) 653-4600
Fax (270) 653-2778
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 4384
Remove 1073679866 NPI Number
 

According to our database, Clinton Dental Clinic,inc. NPI is 1073679866, taxonomy code is 1223G0001X and license number is 4384, license state is located at Kentucky. Clinton Dental Clinic,inc. physically located at 201 S Washington St, Clinton KY, 42031-1440. NPI Number 1033115704 has the healthcare provider type.

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1073679866 NPI number is provided on an as is basis without warranty of any kind. 1073679866 is maintained by the National Plan & Provider Enumeration System. The contents of Clinton Dental Clinic,inc. are for informational purposes only.