| Business Title | |
|
1107 C Indian Mound Drive Suite C Mt Sterling KY 40353 | |
| (859) 498-2356 | |
| (859) 498-2413 |
| Full Name | Business Title |
|---|---|
| Speciality | Dentist |
| Location | 1107 C Indian Mound Drive, Mt Sterling, Kentucky |
| Authorized Official Name and Position | Daniel Bruce Manley (DMD PSC) |
| Authorized Official Contact | 8594982356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Business Title 1107 C Indian Mound Drive Suite C Mt Sterling KY 40353 Ph: (859) 498-2356 | Business Title 1107 C Indian Mound Drive Suite C Mt Sterling KY 40353 Ph: (859) 498-2356 |
| NPI Number | 1154497535 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154497535 | NPI | - | NPPES |
| 60053576 | Medicaid | KY | |
| 4500368800 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5357 (Kentucky) | Primary |
Mt Sterling Peds Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 2, Mt Sterling, KY 40353 Phone: 859-274-4434 | |
John I Gray Iii Psc Dental Clinic Medicare: Medicare Enrolled Practice Location: 25 E High St, Mt Sterling, KY 40353 Phone: 859-498-6204 Fax: 859-498-6205 | |
Gateway Dental Dre Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Brandon Way Ste C, Mt Sterling, KY 40353 Phone: 859-497-2141 | |
Oral Surgery & Implant Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 1, Mt Sterling, KY 40353 Phone: 859-498-6204 Fax: 859-498-6205 | |
Sterling Family Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E High St, Mt Sterling, KY 40353 Phone: 859-498-7130 Fax: 859-498-7138 | |
Arrow Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 2, Mt Sterling, KY 40353 Phone: 859-274-4434 |