| Morehead Peds Dre LLC | |
|
1275 Hallwood Dr Morehead KY 40351-7370 | |
| (606) 784-8000 | |
| Not Available |
| Full Name | Morehead Peds Dre LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1275 Hallwood Dr, Morehead, Kentucky |
| Authorized Official Name and Position | Elizabeth Davis (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehead Peds Dre LLC 105 Spruce St Lexington KY 40507-2109 | Morehead Peds Dre LLC 1275 Hallwood Dr Morehead KY 40351-7370 Ph: (606) 784-8000 |
| NPI Number | 1891560272 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891560272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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