| Dentistry For Children | |
|
205 Champion Way Suite 9 Georgetown KY 40324-8862 | |
| (502) 868-9300 | |
| Not Available |
| Full Name | Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 205 Champion Way, Georgetown, Kentucky |
| Authorized Official Name and Position | Erin Gobble (OFFICE MANAGER) |
| Authorized Official Contact | 5028689300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children 216 Fountain Ct Suite#150 Lexington KY 40509-1888 Ph: (859) 543-2242 | Dentistry For Children 205 Champion Way Suite 9 Georgetown KY 40324-8862 Ph: (502) 868-9300 |
| NPI Number | 1083807945 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083807945 | NPI | - | NPPES |
| 7100169540 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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