| John J Duplessis, Jr. | |
|
2401 Ring Rd Elizabethtown KY 42701-7941 | |
| (270) 765-6502 | |
| (270) 766-1988 |
| Full Name | John J Duplessis, Jr. |
|---|---|
| Speciality | Dentist |
| Location | 2401 Ring Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | John Duplessis (DR.) |
| Authorized Official Contact | 2707656502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Duplessis, Jr. 2401 Ring Rd Elizabethtown KY 42701-7941 Ph: (270) 765-6502 | John J Duplessis, Jr. 2401 Ring Rd Elizabethtown KY 42701-7941 Ph: (270) 765-6502 |
| NPI Number | 1841457363 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841457363 | NPI | - | NPPES |
| 61942827 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5895 (Kentucky) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5895 (Kentucky) | Secondary |
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