Campbellsville Dental Care, Psc | |
105 E Main St Campbellsville KY 42718-2237 | |
(270) 283-4790 | |
(270) 283-4864 |
Full Name | Campbellsville Dental Care, Psc |
---|---|
Speciality | Clinic/center - Dental |
Location | 105 E Main St, Campbellsville, Kentucky |
Authorized Official Name and Position | Ben Taylor Cox (OWNER) |
Authorized Official Contact | 2702834790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Campbellsville Dental Care, Psc 105 E Main St Campbellsville KY 42718-2237 Ph: (270) 283-4790 | Campbellsville Dental Care, Psc 105 E Main St Campbellsville KY 42718-2237 Ph: (270) 283-4790 |
NPI Number | 1114440450 |
---|---|
Provider Enumeration Date | 07/19/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114440450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 9761 (Kentucky) | Primary |
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