| 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 |
Hodgenville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Walters Ave, Hodgenville, KY 42748 Phone: 270-358-3189 Fax: 270-358-3180 |