| Georgetown Family Dentistry, Llc | |
|
227 E Main St Georgetown KY 40324-1711 | |
| (502) 753-0609 | |
| Not Available |
| Full Name | Georgetown Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 227 E Main St, Georgetown, Kentucky |
| Authorized Official Name and Position | Tristan Thompson (OWNER) |
| Authorized Official Contact | 2704856862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Family Dentistry, Llc 227 E Main St Georgetown KY 40324-1711 Ph: (502) 753-0609 | Georgetown Family Dentistry, Llc 227 E Main St Georgetown KY 40324-1711 Ph: (502) 753-0609 |
| NPI Number | 1144845439 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144845439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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