| Licking Valley Dental Associates Psc | |
| 
					114 S Main St Cynthiana KY 41031-1521  | |
| (859) 234-3323 | |
| (859) 234-3332 | 
| Full Name | Licking Valley Dental Associates Psc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 114 S Main St, Cynthiana, Kentucky | 
| Authorized Official Name and Position | James Stephen Clyde (PRESIDENT) | 
| Authorized Official Contact | 8592343323 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Licking Valley Dental Associates Psc 114 S Main St Cynthiana KY 41031-1521 Ph: (859) 234-3323  | Licking Valley Dental Associates Psc 114 S Main St Cynthiana KY 41031-1521 Ph: (859) 234-3323  | 
| NPI Number | 1982769154 | 
|---|---|
| Provider Enumeration Date | 12/27/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982769154 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4932 (Kentucky) | Primary | 
Cynthiana Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Ky Highway 32 W Ste 2, Cynthiana, KY 41031 Phone: 859-234-9944  | |
Dentistry Tomorrow, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 Us Highway 27 N, Cynthiana, KY 41031 Phone: 859-234-4323 Fax: 859-234-4303  | |
Amanda Mccauley Thornberry Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Quail Dr, Cynthiana, KY 41031 Phone: 859-987-7474 Fax: 859-987-6060  |