| Morehead Pediatric Dentistry, Pllc | |
|
1275 Hallwood Drive Morehead KY 40351 | |
| (606) 776-9863 | |
| Not Available |
| Full Name | Morehead Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1275 Hallwood Drive, Morehead, Kentucky |
| Authorized Official Name and Position | Brent Douglas Kidd (OWNER/OPERATOR) |
| Authorized Official Contact | 6067769863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehead Pediatric Dentistry, Pllc 6927 Woodhaven Place Dr Louisville KY 40228-2804 Ph: (606) 776-9863 | Morehead Pediatric Dentistry, Pllc 1275 Hallwood Drive Morehead KY 40351 Ph: (606) 776-9863 |
| NPI Number | 1326474099 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326474099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9075 (Kentucky) | Primary |
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