| Forever Smiles | |
|
6363 Kentucky Route 1428 Allen KY 41601 | |
| (606) 949-6971 | |
| (606) 949-6986 |
| Full Name | Forever Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6363 Kentucky Route 1428, Allen, Kentucky |
| Authorized Official Name and Position | Jeffery Dye (PRESIDENT) |
| Authorized Official Contact | 6069496971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Smiles Po Box 308 6363 Kentucky Route 1428 Allen KY 41601 Ph: (606) 949-6971 | Forever Smiles 6363 Kentucky Route 1428 Allen KY 41601 Ph: (606) 949-6971 |
| NPI Number | 1083988596 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083988596 | NPI | - | NPPES |
| 60069770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6977 (Kentucky) | Primary |
| 1223G0001X | Dentist - General Practice | 7084 (Kentucky) | Secondary |
Economy Dentures Plus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6363 Ky Route 1428, Allen, KY 41601 Phone: 606-874-0678 |