| Henderson Children's Dentistry, Llc | |
|
700 Barret Blvd Ste A Henderson KY 42420-7526 | |
| (270) 827-5522 | |
| (270) 827-8272 |
| Full Name | Henderson Children's Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 700 Barret Blvd Ste A, Henderson, Kentucky |
| Authorized Official Name and Position | Brad Fulkerson (MEMBER/OWNER) |
| Authorized Official Contact | 2708275522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Children's Dentistry, Llc Po Box 276 Henderson KY 42419-0276 Ph: (270) 827-5522 | Henderson Children's Dentistry, Llc 700 Barret Blvd Ste A Henderson KY 42420-7526 Ph: (270) 827-5522 |
| NPI Number | 1144916941 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144916941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 8 days ago
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