Family Dental Care Of Kentucky Psc

NPI 1770680761 - Dentist - 1223G0001X

NPI Details
NPI 1770680761
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAMUEL GREGORY SAMUEL
Position OWNER SOLE SHAREHOLDER PRESIDENT
Phone (502) 633-1538
Fax (502) 633-9445
Practice Location
502 MOUNT EDEN ROAD
SHELBYVILLE KY, 40065, US
Phone (502) 633-1538
Fax (502) 633-9445
Business Location
802 KINROSS PLACE
LOUISVILLE KY, 40243, US
Phone (502) 254-8745
Fax (502) 254-8874
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Family Dental Care Of Kentucky Psc NPI is 1770680761, taxonomy code is 1223G0001X Family Dental Care Of Kentucky Psc physically located at 502 Mount Eden Road, Shelbyville KY, 40065. NPI Number 1033115704 has the healthcare provider type.

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1770680761 NPI number is provided on an as is basis without warranty of any kind. 1770680761 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Care Of Kentucky Psc are for informational purposes only.