| Commonwealth Family Dentistry | |
|
750 W. Main Street Morehead KY 40351 | |
| (606) 783-0182 | |
| (606) 783-0272 |
| Full Name | Commonwealth Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 750 W. Main Street, Morehead, Kentucky |
| Authorized Official Name and Position | Jason S Dowlen (OWNER/PRESIDEBT) |
| Authorized Official Contact | 6067830182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Family Dentistry 750 W. Main Street Morehead KY 40351 Ph: (606) 783-0182 | Commonwealth Family Dentistry 750 W. Main Street Morehead KY 40351 Ph: (606) 783-0182 |
| NPI Number | 1821316910 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821316910 | NPI | - | NPPES |
| 7100126130 | Medicaid | KY | |
| 7100009100 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8464 (Kentucky) | Primary |
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