Eades Family Dentistry | |
1603 W Everly Bros Blvd Suite 2a Central City KY 42330 | |
(270) 754-1404 | |
Not Available |
Full Name | Eades Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1603 W Everly Bros Blvd Suite 2a, Central City, Kentucky |
Authorized Official Name and Position | William Bryan Eades (OWNER) |
Authorized Official Contact | 2707541404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eades Family Dentistry 1603 W Everly Bros Blvd Suite 2a Central City KY 42330 Ph: (270) 754-1404 | Eades Family Dentistry 1603 W Everly Bros Blvd Suite 2a Central City KY 42330 Ph: (270) 754-1404 |
NPI Number | 1154679520 |
---|---|
Provider Enumeration Date | 08/16/2012 |
Last Update Date | 10/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154679520 | NPI | - | NPPES |
7100224230 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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