| Boley Family Dre Pllc | |
| 
					1031 Old Elizabethtown Rd Hodgenville KY 42748-9451  | |
| (270) 358-8822 | |
| Not Available | 
| Full Name | Boley Family Dre Pllc | 
|---|---|
| Speciality | Dentist | 
| Location | 1031 Old Elizabethtown Rd, Hodgenville, Kentucky | 
| Authorized Official Name and Position | Elizabeth Davis (DIRECTOR OF REVENUE) | 
| Authorized Official Contact | 8595331109 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Boley Family Dre Pllc 105 Spruce St Lexington KY 40507-2109 Ph: () -  | Boley Family Dre Pllc 1031 Old Elizabethtown Rd Hodgenville KY 42748-9451 Ph: (270) 358-8822  | 
| NPI Number | 1841045499 | 
|---|---|
| Provider Enumeration Date | 04/18/2024 | 
| Last Update Date | 04/18/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841045499 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |