Center For Tmj And Orofacial Disorders, Pllc | |
384 N Mayo Trl Unit B Pikeville KY 41501-1493 | |
(606) 437-7609 | |
Not Available |
Full Name | Center For Tmj And Orofacial Disorders, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 384 N Mayo Trl, Pikeville, Kentucky |
Authorized Official Name and Position | Jill Elizabeth Keaton (SOLE MEMBER) |
Authorized Official Contact | 6064377609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Tmj And Orofacial Disorders, Pllc Po Box 989 Pikeville KY 41502-0989 Ph: () - | Center For Tmj And Orofacial Disorders, Pllc 384 N Mayo Trl Unit B Pikeville KY 41501-1493 Ph: (606) 437-7609 |
NPI Number | 1376973818 |
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Provider Enumeration Date | 11/20/2013 |
Last Update Date | 10/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376973818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6470 (Kentucky) | Primary |
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The Dentist Office Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 S Mayo Trail, Suite 101, Pikeville, KY 41501 Phone: 606-433-0033 Fax: 606-433-0990 | |
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