| Smiths Grove Family Dentistry | |
|
148 Vincent St Smiths Grove KY 42171-8183 | |
| (270) 563-4819 | |
| (270) 563-0088 |
| Full Name | Smiths Grove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 148 Vincent St, Smiths Grove, Kentucky |
| Authorized Official Name and Position | Gary Phillip Walden (OWNER) |
| Authorized Official Contact | 2705634819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiths Grove Family Dentistry Po Box 370 Smiths Grove KY 42171-0370 Ph: (270) 563-4819 | Smiths Grove Family Dentistry 148 Vincent St Smiths Grove KY 42171-8183 Ph: (270) 563-4819 |
| NPI Number | 1528568789 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528568789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9168 (Kentucky) | Primary |
Benson & Benson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Vincent St, Smiths Grove, KY 42171 Phone: 270-563-4706 Fax: 270-563-4819 |