| Lyon Family Dental | |
| 
					252 Commerce St Eddyville KY 42038-8294  | |
| (270) 601-4122 | |
| Not Available | 
| Full Name | Lyon Family Dental | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 252 Commerce St, Eddyville, Kentucky | 
| Authorized Official Name and Position | Dominique Rivera (OWNER) | 
| Authorized Official Contact | 2706252778 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lyon Family Dental 252 Commerce St Eddyville KY 42038-8294 Ph: (270) 601-4122  | Lyon Family Dental 252 Commerce St Eddyville KY 42038-8294 Ph: (270) 601-4122  | 
| NPI Number | 1841816824 | 
|---|---|
| Provider Enumeration Date | 06/24/2020 | 
| Last Update Date | 06/24/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841816824 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |