| Danville Pediatric Dentistry, Psc | |
|
1080 Ben Ali Dr Suite A Danville KY 40422-8937 | |
| (859) 236-6900 | |
| (859) 236-6997 |
| Full Name | Danville Pediatric Dentistry, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1080 Ben Ali Dr, Danville, Kentucky |
| Authorized Official Name and Position | Jeffrey T Johnson (OWNER) |
| Authorized Official Contact | 8592366900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Pediatric Dentistry, Psc 1080 Ben Ali Dr Suite A Danville KY 40422-8937 Ph: (859) 236-6900 | Danville Pediatric Dentistry, Psc 1080 Ben Ali Dr Suite A Danville KY 40422-8937 Ph: (859) 236-6900 |
| NPI Number | 1760772230 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760772230 | NPI | - | NPPES |
| 1223P0221X | Medicaid | KY | |
| 1223G0001X | Other | KY | EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7737 (Kentucky) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 7737 (Kentucky) | Secondary |
Danville Peds Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Ben Ali Dr Ste A, Danville, KY 40422 Phone: 859-236-6900 | |
Robert Taylor Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Whirlaway Dr, Danville, KY 40422 Phone: 859-236-4304 | |
Bostick Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Daniel Dr, Danville, KY 40422 Phone: 859-236-1810 Fax: 859-236-1802 | |
Susan H. Couzens Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S 4th St, Suite 101, Danville, KY 40422 Phone: 859-236-4304 | |
Webster Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 S 4th St Ste B, Danville, KY 40422 Phone: 859-236-1912 Fax: 859-236-4589 | |
Boyd Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N 3rd St, Suite 2, Danville, KY 40422 Phone: 859-236-8229 | |
Chris Bostick, Dmd,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Daniel Dr, Danville, KY 40422 Phone: 859-236-1810 Fax: 859-236-1802 |