| J. Mark Huntsman Dmd Psc | |
|
199 W Main St Scottsville KY 42164-1120 | |
| (270) 237-3655 | |
| (270) 237-3278 |
| Full Name | J. Mark Huntsman Dmd Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 199 W Main St, Scottsville, Kentucky |
| Authorized Official Name and Position | James Mark Huntsman (PRESIDENT) |
| Authorized Official Contact | 2702373655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Mark Huntsman Dmd Psc 199 W Main St Scottsville KY 42164-1120 Ph: (270) 237-3655 | J. Mark Huntsman Dmd Psc 199 W Main St Scottsville KY 42164-1120 Ph: (270) 237-3655 |
| NPI Number | 1609925346 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609925346 | NPI | - | NPPES |
| 60041233 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4123 (Kentucky) | Primary |
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