| Elkhorn Dental | |
|
155 E Main St Elkhorn City KY 41522-9043 | |
| (606) 754-0155 | |
| (606) 754-0151 |
| Full Name | Elkhorn Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 155 E Main St, Elkhorn City, Kentucky |
| Authorized Official Name and Position | James D. Justice (OWNER) |
| Authorized Official Contact | 6067540155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhorn Dental 155 E Main St P.o.box 1500 Elkhorn City KY 41522-9043 Ph: (606) 754-0155 | Elkhorn Dental 155 E Main St Elkhorn City KY 41522-9043 Ph: (606) 754-0155 |
| NPI Number | 1699046011 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699046011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7265 (Kentucky) | Primary |
Elkhorn Dental Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Main St, Elkhorn City, KY 41522 Phone: 606-754-0155 Fax: 606-754-0151 |