| Gentle Dental Care | |
|
1301 Olive St Benton KY 42025-1640 | |
| (270) 527-1479 | |
| Not Available |
| Full Name | Gentle Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Olive St, Benton, Kentucky |
| Authorized Official Name and Position | Randon Scott Prather (PRESIDENT) |
| Authorized Official Contact | 2705271479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Care 1301 Olive St Po Box 585 Benton KY 42025-1640 Ph: (270) 527-1479 | Gentle Dental Care 1301 Olive St Benton KY 42025-1640 Ph: (270) 527-1479 |
| NPI Number | 1306235619 |
|---|---|
| Provider Enumeration Date | 01/11/2015 |
| Last Update Date | 01/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9492 (Kentucky) | Primary |
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