| Knox Family Dentistry, P.s.c. | |
|
608 Knox St Barbourville KY 40906-1304 | |
| (606) 546-6711 | |
| (606) 546-2574 |
| Full Name | Knox Family Dentistry, P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 608 Knox St, Barbourville, Kentucky |
| Authorized Official Name and Position | Brent C. Mcdonald (PRESIDENT) |
| Authorized Official Contact | 6065466711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Family Dentistry, P.s.c. 608 Knox St Barbourville KY 40906-1304 Ph: (606) 546-6711 | Knox Family Dentistry, P.s.c. 608 Knox St Barbourville KY 40906-1304 Ph: (606) 546-6711 |
| NPI Number | 1467598912 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467598912 | NPI | - | NPPES |
| 60073848 | Medicaid | KY | |
| 61900445 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7384 (Kentucky) | Primary |
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› Verified 9 days ago
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