| Kentucky Dental Professionals Psc | |
|
618 Buttermilk Pike Crescent Springs KY 41017-1302 | |
| (859) 344-9222 | |
| (859) 344-1490 |
| Full Name | Kentucky Dental Professionals Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 618 Buttermilk Pike, Crescent Springs, Kentucky |
| Authorized Official Name and Position | Amy Kroeger (INS COORD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Dental Professionals Psc 618 Buttermilk Pike Crescent Springs KY 41017-1302 Ph: (859) 344-9222 | Kentucky Dental Professionals Psc 618 Buttermilk Pike Crescent Springs KY 41017-1302 Ph: (859) 344-9222 |
| NPI Number | 1811162357 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811162357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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