| Lisa Triplett-short, Dmd, Psc | |
| 
					1970 Highway 160 S Hindman KY 41822  | |
| (606) 785-0600 | |
| (606) 785-0073 | 
| Full Name | Lisa Triplett-short, Dmd, Psc | 
|---|---|
| Speciality | Dentist - Dental Public Health | 
| Location | 1970 Highway 160 S, Hindman, Kentucky | 
| Authorized Official Name and Position | Lisa Renee Triplett-short (DENTIST) | 
| Authorized Official Contact | 6067850600 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Triplett-short, Dmd, Psc Po Box 1150 Hindman KY 41822-1150 Ph: (606) 785-0600  | Lisa Triplett-short, Dmd, Psc 1970 Highway 160 S Hindman KY 41822 Ph: (606) 785-0600  | 
| NPI Number | 1326316100 | 
|---|---|
| Provider Enumeration Date | 12/07/2011 | 
| Last Update Date | 12/07/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326316100 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 6526 (Kentucky) | Secondary | 
| 1223D0001X | Dentist - Dental Public Health | 6526 (Kentucky) | Primary | 
University Of Kentucky Northfork Valley Coummunity Health Board, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Cowtown Road, Hindman, KY 41822 Phone: 606-785-3175  | |
East Ky Health Service Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 566 Highway 899, Hindman, KY 41822 Phone: 606-785-3164 Fax: 606-785-0107  | |
University Of Kentucky Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Cowtown Rd, Hindman, KY 41822 Phone: 606-439-1559  | |
North Fork Valley Community Health Board, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 59 Cowtown Rd, Hindman, KY 41822 Phone: 606-785-3175  |