| Hyde Family Dentistry Plc | |
|
1120 High St Brandenburg KY 40108-1514 | |
| (270) 422-4923 | |
| Not Available |
| Full Name | Hyde Family Dentistry Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 High St, Brandenburg, Kentucky |
| Authorized Official Name and Position | Darra J. Hyde (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5023098638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Family Dentistry Plc 200 Shelbi Dr Guston KY 40142-7052 Ph: () - | Hyde Family Dentistry Plc 1120 High St Brandenburg KY 40108-1514 Ph: (270) 422-4923 |
| NPI Number | 1972326320 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 3870023526 |
|---|---|
| Medicare Enrollment ID | O20250210002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972326320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Darra J Hyde |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366287302 PECOS PAC ID: 4789114430 Enrollment ID: I20250210003048 |
Cox Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 High St, Brandenburg, KY 40108 Phone: 270-422-4921 | |
Brandenburg Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 High St, Brandenburg, KY 40108 Phone: 270-422-4921 Fax: 270-422-3550 |