| Smiles On Meeting Street | |
|
10515 Meeting St Suite 104 Prospect KY 40059-6523 | |
| (502) 420-2480 | |
| (502) 420-2891 |
| Full Name | Smiles On Meeting Street |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10515 Meeting St, Prospect, Kentucky |
| Authorized Official Name and Position | Kwane Mitchell Watson (OWNER) |
| Authorized Official Contact | 5027761754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Meeting Street 10515 Meeting St Suite 104 Prospect KY 40059-6523 Ph: (502) 420-2480 | Smiles On Meeting Street 10515 Meeting St Suite 104 Prospect KY 40059-6523 Ph: (502) 420-2480 |
| NPI Number | 1912179516 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912179516 | NPI | - | NPPES |
| 61900346 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7483 (Kentucky) | Primary |
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Healthy & Bright Cosmetic And Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9509 Us Highway 42 Ste 102, Prospect, KY 40059 Phone: 502-228-3578 | |
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Thomas R. Vivian Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10515 Meeting St, 104, Prospect, KY 40059 Phone: 502-420-2480 Fax: 502-420-2891 | |
Dhda Providerco, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13104 W Highway 42, Prospect, KY 40059 Phone: 502-228-0234 |