Smile Center Pllc | |
1485 Old Lebanon Rd Campbellsville KY 42718-3356 | |
(270) 789-2155 | |
(270) 789-0693 |
Full Name | Smile Center Pllc |
---|---|
Speciality | Dentist |
Location | 1485 Old Lebanon Rd, Campbellsville, Kentucky |
Authorized Official Name and Position | Marlene K Richardson (DENTIST) |
Authorized Official Contact | 2707892188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Center Pllc 1485 Old Lebanon Rd Campbellsville KY 42718-3356 Ph: (270) 789-2155 | Smile Center Pllc 1485 Old Lebanon Rd Campbellsville KY 42718-3356 Ph: (270) 789-2155 |
NPI Number | 1891931606 |
---|---|
Provider Enumeration Date | 12/29/2008 |
Last Update Date | 12/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891931606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5914 (Kentucky) | Primary |
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