| Associates In Dentistry, Llc | |
|
54 Medical Lane Whitley City KY 42653 | |
| (606) 376-5055 | |
| Not Available |
| Full Name | Associates In Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 54 Medical Lane, Whitley City, Kentucky |
| Authorized Official Name and Position | Kenneth Wayne Lose (PARTNER) |
| Authorized Official Contact | 6063765055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Dentistry, Llc Po Box 608 Whitley City KY 42653-0608 Ph: (606) 376-5055 | Associates In Dentistry, Llc 54 Medical Lane Whitley City KY 42653 Ph: (606) 376-5055 |
| NPI Number | 1194899161 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194899161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5243 (Kentucky) | Primary |