| Family Dentistry Inc | |
|
704 N Main Street Nicholasville KY 40356 | |
| (859) 881-4633 | |
| (859) 885-2663 |
| Full Name | Family Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 704 N Main Street, Nicholasville, Kentucky |
| Authorized Official Name and Position | Daniel R Watkins (PRESIDENT CEO) |
| Authorized Official Contact | 8598814633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Inc 704 N Main Street Nicholasville KY 40356 Ph: (859) 881-4633 | Family Dentistry Inc 704 N Main Street Nicholasville KY 40356 Ph: (859) 881-4633 |
| NPI Number | 1952450850 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952450850 | NPI | - | NPPES |
| 61900775 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5175 (Kentucky) | Primary |
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