| Fisherville Dental Pllc | |
|
6287 Taylorsville Road, Bldg 2, Ste A Fisherville KY 40023 | |
| (502) 477-6380 | |
| Not Available |
| Full Name | Fisherville Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6287 Taylorsville Road, Bldg 2, Ste A, Fisherville, Kentucky |
| Authorized Official Name and Position | Carol K Patel (OWNER) |
| Authorized Official Contact | 5027442384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisherville Dental Pllc 6287 Taylorsville Road, Bldg 2, Ste A Fisherville KY 40023 Ph: (502) 477-6380 | Fisherville Dental Pllc 6287 Taylorsville Road, Bldg 2, Ste A Fisherville KY 40023 Ph: (502) 477-6380 |
| NPI Number | 1174229348 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174229348 | NPI | - | NPPES |
| 1336572965 | Other | KY | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |