| Pediatric Dentistry Of Elizabethtown | |
|
103 Financial Pl Ste 101 Elizabethtown KY 42701-4470 | |
| (270) 600-7337 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Elizabethtown |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 103 Financial Pl Ste 101, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Beenash Anwer (OWNER/ PROVIDER) |
| Authorized Official Contact | 2706007337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Elizabethtown 103 Financial Pl Ste 101 Elizabethtown KY 42701-4470 Ph: (270) 600-7337 | Pediatric Dentistry Of Elizabethtown 103 Financial Pl Ste 101 Elizabethtown KY 42701-4470 Ph: (270) 600-7337 |
| NPI Number | 1659910792 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659910792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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