| Tates Creek Dental, Psc | |
| 
					517 Legion Dr Harrodsburg KY 40330-2186  | |
| (859) 734-7709 | |
| Not Available | 
| Full Name | Tates Creek Dental, Psc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 517 Legion Dr, Harrodsburg, Kentucky | 
| Authorized Official Name and Position | Jeff King (DENTIST) | 
| Authorized Official Contact | 8597347709 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tates Creek Dental, Psc 517 Legion Dr Harrodsburg KY 40330-2186 Ph: (859) 734-7709  | Tates Creek Dental, Psc 517 Legion Dr Harrodsburg KY 40330-2186 Ph: (859) 734-7709  | 
| NPI Number | 1245734763 | 
|---|---|
| Provider Enumeration Date | 03/20/2018 | 
| Last Update Date | 03/20/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245734763 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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