| London Dental Center | |
|
828 South Main Street London KY 40741 | |
| (606) 878-7251 | |
| (606) 878-1285 |
| Full Name | London Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 828 South Main Street, London, Kentucky |
| Authorized Official Name and Position | Jerry Mayes (OWNER DENTIST GENERAL) |
| Authorized Official Contact | 6068787251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| London Dental Center 828 South Main Street London KY 40741 Ph: (606) 878-7251 | London Dental Center 828 South Main Street London KY 40741 Ph: (606) 878-7251 |
| NPI Number | 1124158894 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124158894 | NPI | - | NPPES |
| 61900593 | Medicaid | KY | |
| 45000395 | Other | KY | EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Commonwealth Periodontics & Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 S Main St, London, KY 40741 Phone: 606-878-1971 Fax: 606-864-8774 | |
Premier Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Waco Dr, London, KY 40741 Phone: 606-877-3002 Fax: 606-877-3024 | |
Michael C Herren Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 W 5th St, London, KY 40741 Phone: 606-864-4744 | |
Laurel Dental Dre Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 S Laurel Rd, London, KY 40744 Phone: 606-877-2700 | |
Dr. Kimberly Brown, Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1368 E Highway 192 Byp, London, KY 40741 Phone: 606-864-6680 Fax: 606-864-7310 | |
Laurel Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 S Laurel Rd, London, KY 40744 Phone: 606-877-2700 Fax: 606-877-9190 |