| Romeo N. Laureano, D.m.d., P.s.c. | |
|
120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 | |
| (502) 348-1155 | |
| (502) 348-3277 |
| Full Name | Romeo N. Laureano, D.m.d., P.s.c. |
|---|---|
| Speciality | Dentist |
| Location | 120 W Stephen Foster Ave Ste 107, Bardstown, Kentucky |
| Authorized Official Name and Position | Romeo Nantes Laureano (OWNER/PRESIDENT) |
| Authorized Official Contact | 5023481155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Romeo N. Laureano, D.m.d., P.s.c. 120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 Ph: (502) 348-1155 | Romeo N. Laureano, D.m.d., P.s.c. 120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 Ph: (502) 348-1155 |
| NPI Number | 1750552733 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750552733 | NPI | - | NPPES |
| 64070992 | Medicaid | KY | |
| 000000113034 | Other | KY | BLUE CROSS |
| 60070992 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
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