| Revel Dental,psc | |
|
210 Bellaire Dr Nicholasville KY 40356-8840 | |
| (859) 887-3835 | |
| (859) 887-0351 |
| Full Name | Revel Dental,psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 Bellaire Dr, Nicholasville, Kentucky |
| Authorized Official Name and Position | Pamela A Revel (PRES.) |
| Authorized Official Contact | 8598873835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revel Dental,psc 210 Bellaire Dr Nicholasville KY 40356-8840 Ph: (895) 887-3835 | Revel Dental,psc 210 Bellaire Dr Nicholasville KY 40356-8840 Ph: (859) 887-3835 |
| NPI Number | 1437421310 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437421310 | NPI | - | NPPES |
| 7100186980 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7128 (Kentucky) | Primary |
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