| Andrea G. Haydon, Dmd Pllc | |
|
202 W. Stephen Foster Avenue Suite E Bardstown KY 40004 | |
| (502) 348-0908 | |
| (502) 348-0948 |
| Full Name | Andrea G. Haydon, Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 202 W. Stephen Foster Avenue, Bardstown, Kentucky |
| Authorized Official Name and Position | Andrea Goatley Haydon (DENTIST/OWNER OF BUSINESS) |
| Authorized Official Contact | 5023480908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea G. Haydon, Dmd Pllc 202 W. Stephen Foster Avenue Suite E Bardstown KY 40004 Ph: (502) 348-0908 | Andrea G. Haydon, Dmd Pllc 202 W. Stephen Foster Avenue Suite E Bardstown KY 40004 Ph: (502) 348-0908 |
| NPI Number | 1487803367 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487803367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6676 (Kentucky) | Primary |
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