| Healthy Smiles Family & Cosmetic Dentistry Psc | |
|
83 Oak Ridge Ct Prestonsburg KY 41653-8595 | |
| (606) 886-0300 | |
| (606) 886-9334 |
| Full Name | Healthy Smiles Family & Cosmetic Dentistry Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 83 Oak Ridge Ct, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Misty Dawn Clark (DENTIST) |
| Authorized Official Contact | 6068860300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Family & Cosmetic Dentistry Psc 83 Oak Ridge Ct Prestonsburg KY 41653-8595 Ph: (606) 886-0300 | Healthy Smiles Family & Cosmetic Dentistry Psc 83 Oak Ridge Ct Prestonsburg KY 41653-8595 Ph: (606) 886-0300 |
| NPI Number | 1194064493 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194064493 | NPI | - | NPPES |
| 7100088720 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8481 (Kentucky) | Primary |
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