| Pope Family Dentistry, Pllc | |
|
5316 Garden Dr Crestwood KY 40014-8843 | |
| (502) 221-1310 | |
| Not Available |
| Full Name | Pope Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5316 Garden Dr, Crestwood, Kentucky |
| Authorized Official Name and Position | Hannah Pope (OWNER) |
| Authorized Official Contact | 5022211310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pope Family Dentistry, Pllc 5316 Garden Dr Crestwood KY 40014-8843 Ph: (502) 221-1310 | Pope Family Dentistry, Pllc 5316 Garden Dr Crestwood KY 40014-8843 Ph: (502) 221-1310 |
| NPI Number | 1043963978 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043963978 | NPI | - | NPPES |
| 7100684060 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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