| Edp Of Kentucky Pc | |
|
342 Starlite Dr Henderson KY 42420-6102 | |
| (270) 826-1414 | |
| Not Available |
| Full Name | Edp Of Kentucky Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 342 Starlite Dr, Henderson, Kentucky |
| Authorized Official Name and Position | Roseanne Brunenkant (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Contact | 3129373619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edp Of Kentucky Pc 141 W Jackson Blvd Ste 210 Chicago IL 60604-3048 Ph: (312) 800-1270 | Edp Of Kentucky Pc 342 Starlite Dr Henderson KY 42420-6102 Ph: (270) 826-1414 |
| NPI Number | 1508367665 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508367665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Audubon Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 2nd St, Henderson, KY 42420 Phone: 270-826-2092 | |
Jessica H. Renaker, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 N Green St, Henderson, KY 42420 Phone: 270-826-7772 | |
Northwest Kentucky Dental Centre Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Barrett Blvd, Henderson, KY 42420 Phone: 270-827-4534 Fax: 270-827-4503 | |
Audubon Dental Center Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Second Street, Henderson, KY 42420 Phone: 270-826-2092 | |
Brad T Fulkerson, Dmd,msd,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700a Barrett Blvd, Henderson, KY 42420 Phone: 270-827-5522 Fax: 270-827-8272 |