| Periodontic & Endodontic Services | |
|
11708 Main St Middletown KY 40243-1426 | |
| (502) 410-1702 | |
| Not Available |
| Full Name | Periodontic & Endodontic Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11708 Main St, Middletown, Kentucky |
| Authorized Official Name and Position | Steve James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontic & Endodontic Services Po Box 437169 Louisville KY 40253-7169 Ph: () - | Periodontic & Endodontic Services 11708 Main St Middletown KY 40243-1426 Ph: (502) 410-1702 |
| NPI Number | 1609054584 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609054584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Oral Surgery Group Of Middletown, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 134 Evergreen Rd, Middletown, KY 40243 Phone: 502-410-1702 | |
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