| Creative Smiles - Georgetown | |
|
240 Blossom Park Dr Suite 1 Georgetown KY 40324-9079 | |
| (502) 570-8778 | |
| (502) 570-8878 |
| Full Name | Creative Smiles - Georgetown |
|---|---|
| Speciality | Dentist |
| Location | 240 Blossom Park Dr, Georgetown, Kentucky |
| Authorized Official Name and Position | Amy M Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Smiles - Georgetown 240 Blossom Park Dr Suite 1 Georgetown KY 40324-9079 Ph: (502) 570-8778 | Creative Smiles - Georgetown 240 Blossom Park Dr Suite 1 Georgetown KY 40324-9079 Ph: (502) 570-8778 |
| NPI Number | 1285798058 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285798058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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