| Dr Robert I Goodman Psc | |
|
517 Legion Dr Harrodsburg KY 40330 | |
| (859) 734-7709 | |
| (959) 734-7700 |
| Full Name | Dr Robert I Goodman Psc |
|---|---|
| Speciality | Dentist |
| Location | 517 Legion Dr, Harrodsburg, Kentucky |
| Authorized Official Name and Position | Karen K Burton (OFFICE MANAGER) |
| Authorized Official Contact | 8597347709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert I Goodman Psc 517 Legion Dr Harrodsburg KY 40330 Ph: (859) 734-7709 | Dr Robert I Goodman Psc 517 Legion Dr Harrodsburg KY 40330 Ph: (859) 734-7709 |
| NPI Number | 1003999319 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003999319 | NPI | - | NPPES |
| E933 | Other | KY | BCBS FED |
| 6563 | Other | KY | KY LICENSE |
| 263217 | Other | TRIGON BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Harrodsburg Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Legion Dr, Harrodsburg, KY 40330 Phone: 859-734-7709 | |
Dennis Alan Hise, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 N College St, Harrodsburg, KY 40330 Phone: 859-734-5437 Fax: 859-734-5437 |