| Immediadent | |
|
4960 Houston Rd Ste G Florence KY 41042-5132 | |
| (859) 371-1505 | |
| (866) 591-0604 |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4960 Houston Rd, Florence, Kentucky |
| Authorized Official Name and Position | Amy Wheeler (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9138006952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1674 | Immediadent 4960 Houston Rd Ste G Florence KY 41042-5132 Ph: (859) 371-1505 |
| NPI Number | 1255585758 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255585758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8972 (Kentucky) | Primary |
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