| David J, Elrod, Dmd. A Professional Service Corporation | |
|
5183 Hinkleville Rd Paducah KY 42001-9667 | |
| (270) 415-9006 | |
| Not Available |
| Full Name | David J, Elrod, Dmd. A Professional Service Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5183 Hinkleville Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Ashley Cole (PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J, Elrod, Dmd. A Professional Service Corporation Po Box 3189 Syracuse NY 13220-3189 Ph: () - | David J, Elrod, Dmd. A Professional Service Corporation 5183 Hinkleville Rd Paducah KY 42001-9667 Ph: (270) 415-9006 |
| NPI Number | 1285998815 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285998815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9083 (Kentucky) | Primary |
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Broadway Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Broadway, Paducah, KY 42001 Phone: 270-443-9099 Fax: 270-443-9052 | |
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