| Bret A. Avra, Dmd, Psc. | |
|
2605 Kentucky Ave Ste #302 Paducah KY 42003-3800 | |
| (270) 443-1717 | |
| (270) 443-0517 |
| Full Name | Bret A. Avra, Dmd, Psc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2605 Kentucky Ave, Paducah, Kentucky |
| Authorized Official Name and Position | Bret A Avra (PRESIDENT) |
| Authorized Official Contact | 2704431717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bret A. Avra, Dmd, Psc. 2605 Kentucky Avenue Ste #302 Paducah KY 42003-3801 Ph: (270) 443-1717 | Bret A. Avra, Dmd, Psc. 2605 Kentucky Ave Ste #302 Paducah KY 42003-3800 Ph: (270) 443-1717 |
| NPI Number | 1093887937 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093887937 | NPI | - | NPPES |
| 000000316468 | Other | KY | ANTHEM BCBS KY |
| 560132 | Other | KY | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6283 (Kentucky) | Primary |
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