| Lebanon Family Dental Care, Psc | |
|
219 S Proctor Knott Ave Lebanon KY 40033-1219 | |
| (270) 692-4339 | |
| (270) 692-5697 |
| Full Name | Lebanon Family Dental Care, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 S Proctor Knott Ave, Lebanon, Kentucky |
| Authorized Official Name and Position | Emily M. Zink (TREASURER) |
| Authorized Official Contact | 2706924339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Family Dental Care, Psc 219 S Proctor Knott Ave Lebanon KY 40033-1219 Ph: (270) 692-4339 | Lebanon Family Dental Care, Psc 219 S Proctor Knott Ave Lebanon KY 40033-1219 Ph: (270) 692-4339 |
| NPI Number | 1386852317 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386852317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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