| Campbellsville Dental Care, Psc | |
|
105 E Main St Campbellsville KY 42718-2237 | |
| (270) 283-4790 | |
| (270) 283-4864 |
| Full Name | Campbellsville Dental Care, Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 E Main St, Campbellsville, Kentucky |
| Authorized Official Name and Position | Ben Taylor Cox (OWNER) |
| Authorized Official Contact | 2702834790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbellsville Dental Care, Psc 105 E Main St Campbellsville KY 42718-2237 Ph: (270) 283-4790 | Campbellsville Dental Care, Psc 105 E Main St Campbellsville KY 42718-2237 Ph: (270) 283-4790 |
| NPI Number | 1114440450 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114440450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9761 (Kentucky) | Primary |
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