| Mt Sterling Peds Dre Llc | |
|
25 E High St Ste 2 Mt Sterling KY 40353-1267 | |
| (859) 274-4434 | |
| Not Available |
| Full Name | Mt Sterling Peds Dre Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 25 E High St Ste 2, Mt Sterling, 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 |
|---|---|
| Mt Sterling Peds Dre Llc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Mt Sterling Peds Dre Llc 25 E High St Ste 2 Mt Sterling KY 40353-1267 Ph: (859) 274-4434 |
| NPI Number | 1083489462 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083489462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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John I Gray Iii Psc Dental Clinic Medicare: Medicare Enrolled Practice Location: 25 E High St, Mt Sterling, KY 40353 Phone: 859-498-6204 Fax: 859-498-6205 | |
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Oral Surgery & Implant Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E High St Ste 1, Mt Sterling, KY 40353 Phone: 859-498-6204 Fax: 859-498-6205 | |
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