| Beverly A Largent, D.m.d. | |
|
3008 Oregon St Paducah KY 42001-5651 | |
| (270) 554-5437 | |
| (270) 554-5236 |
| Full Name | Beverly A Largent, D.m.d. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3008 Oregon St, Paducah, Kentucky |
| Authorized Official Name and Position | Beverly Largent (OWNER/DENTIST) |
| Authorized Official Contact | 2705545437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly A Largent, D.m.d. 3008 Oregon St Paducah KY 42001-5651 Ph: (270) 554-5437 | Beverly A Largent, D.m.d. 3008 Oregon St Paducah KY 42001-5651 Ph: (270) 554-5437 |
| NPI Number | 1316133499 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316133499 | NPI | - | NPPES |
| 7100001640 | Medicaid | KY | |
| 60054665 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5466 (Kentucky) | Primary |
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