| Anthony W Durall Dmd Psc | |
|
2816 Veach Rd Suite 301 Owensboro KY 42303 | |
| (270) 683-0275 | |
| (270) 683-5929 |
| Full Name | Anthony W Durall Dmd Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2816 Veach Rd, Owensboro, Kentucky |
| Authorized Official Name and Position | Anthony W Durall (PRESIDENT) |
| Authorized Official Contact | 2706830275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony W Durall Dmd Psc 2816 Veach Rd Suite 301 Owensboro KY 42303 Ph: (270) 683-0275 | Anthony W Durall Dmd Psc 2816 Veach Rd Suite 301 Owensboro KY 42303 Ph: (270) 683-0275 |
| NPI Number | 1831252162 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831252162 | NPI | - | NPPES |
| 60048634 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4863 (Kentucky) | Primary |
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