| Kids Dentistry - Prospect, Pllc | |
|
9217 Us Highway 42 Prospect KY 40059-8858 | |
| (502) 228-4009 | |
| Not Available |
| Full Name | Kids Dentistry - Prospect, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9217 Us Highway 42, Prospect, Kentucky |
| Authorized Official Name and Position | Steve James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistry - Prospect, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Kids Dentistry - Prospect, Pllc 9217 Us Highway 42 Prospect KY 40059-8858 Ph: (502) 228-4009 |
| NPI Number | 1023431731 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023431731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Dhda Providerco, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13104 W Highway 42, Prospect, KY 40059 Phone: 502-228-0234 |