| Charles Sammons, Dds, Pllc | |
|
202 Water Street Louisa KY 41230 | |
| (606) 638-3400 | |
| (606) 638-3410 |
| Full Name | Charles Sammons, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 Water Street, Louisa, Kentucky |
| Authorized Official Name and Position | Charles Sammons (DENTIST) |
| Authorized Official Contact | 6066383400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Sammons, Dds, Pllc 202 Water Street Louisa KY 41230 Ph: (606) 638-3400 | Charles Sammons, Dds, Pllc 202 Water Street Louisa KY 41230 Ph: (606) 638-3400 |
| NPI Number | 1376712471 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376712471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6092 (Kentucky) | Primary |
| 261QH0100X | Clinic/center - Health Service | 6092 (Kentucky) | Secondary |
Proffesional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Perry Street, Louisa, KY 41230 Phone: 606-638-4445 Fax: 606-638-4446 | |
Louisa Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S. Water St, Louisa, KY 41230 Phone: 606-638-4689 Fax: 606-483-8005 |