| Susan S. Altman, D.m.d. P.s.c. | |
|
419 Town Mountain Rd Suite 200 Pikeville KY 41501-1631 | |
| (606) 437-4848 | |
| (606) 437-4848 |
| Full Name | Susan S. Altman, D.m.d. P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 419 Town Mountain Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Michele Slone (OFFICE MANAGER) |
| Authorized Official Contact | 6064374848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan S. Altman, D.m.d. P.s.c. 419 Town Mountain Rd Suite 200 Pikeville KY 41501-1631 Ph: (606) 437-4848 | Susan S. Altman, D.m.d. P.s.c. 419 Town Mountain Rd Suite 200 Pikeville KY 41501-1631 Ph: (606) 437-4848 |
| NPI Number | 1184996035 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184996035 | NPI | - | NPPES |
| 4500355500 | Medicaid | KY | |
| 60061959 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6195 (Kentucky) | Secondary |
| 1223G0001X | Dentist - General Practice | 6195 (Kentucky) | Primary |
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