| L. Keith Woody Dmd, Inc. | |
|
325 Broadway St Paintsville KY 41240-1348 | |
| (606) 789-9092 | |
| (606) 789-4428 |
| Full Name | L. Keith Woody Dmd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 325 Broadway St, Paintsville, Kentucky |
| Authorized Official Name and Position | L. Keith Woody (OWNER) |
| Authorized Official Contact | 6067899092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Keith Woody Dmd, Inc. P.o. Box 1661 325 Broadway St Paintsville KY 41240 Ph: (606) 789-9092 | L. Keith Woody Dmd, Inc. 325 Broadway St Paintsville KY 41240-1348 Ph: (606) 789-9092 |
| NPI Number | 1346639366 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346639366 | NPI | - | NPPES |
| 381COD3224 | Medicaid | WV | |
| 60062404 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6240 (Kentucky) | Primary |
Paintsville Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Mayo Trl, Paintsville, KY 41240 Phone: 606-372-5000 |