| David Waugh | |
|
6541 Leitchfield Rd Cecilia KY 42724-9554 | |
| (270) 312-1290 | |
| Not Available |
| Full Name | David Waugh |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6541 Leitchfield Rd, Cecilia, Kentucky |
| Authorized Official Name and Position | David Waugh (DENTIST) |
| Authorized Official Contact | 2703121290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Waugh 6541 Leitchfield Rd Cecilia KY 42724-9554 Ph: (270) 312-1290 | David Waugh 6541 Leitchfield Rd Cecilia KY 42724-9554 Ph: (270) 312-1290 |
| NPI Number | 1518379049 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518379049 | NPI | - | NPPES |
| 60073343 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7334 (Kentucky) | Primary |