| Norvell Family Dentistry Pllc | |
|
821 W. Hwy 25w Williamsburg KY 40769 | |
| (606) 549-0374 | |
| Not Available |
| Full Name | Norvell Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 821 W. Hwy 25w, Williamsburg, Kentucky |
| Authorized Official Name and Position | Jerrica M Norvell (OWNER) |
| Authorized Official Contact | 6065490374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norvell Family Dentistry Pllc Po Box 547 Williamsburg KY 40769-0547 Ph: (606) 549-0374 | Norvell Family Dentistry Pllc 821 W. Hwy 25w Williamsburg KY 40769 Ph: (606) 549-0374 |
| NPI Number | 1215535810 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215535810 | NPI | - | NPPES |
| 7100376830 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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