| Louisa Dental Care | |
|
203 S. Water St Louisa KY 41230 | |
| (606) 638-4689 | |
| (606) 483-8005 |
| Full Name | Louisa Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 203 S. Water St, Louisa, Kentucky |
| Authorized Official Name and Position | Jeffrey Lewis Meade (PRESIDENT) |
| Authorized Official Contact | 6066384689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisa Dental Care 203 S. Water St P.o. Box 70 Louisa KY 41230 Ph: (606) 638-4689 | Louisa Dental Care 203 S. Water St Louisa KY 41230 Ph: (606) 638-4689 |
| NPI Number | 1720404478 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720404478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6690 (Kentucky) | Secondary |
| 122300000X | Dentist | 6598 (Kentucky) | Primary |
James Dale Lester Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Perry Street, Louisa, KY 41230 Phone: 606-638-4445 Fax: 606-638-4446 |