| Joseph Dental Of South Shore Llc | |
|
126 Biggs Ln South Shore KY 41175-7847 | |
| (606) 932-3181 | |
| Not Available |
| Full Name | Joseph Dental Of South Shore Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 126 Biggs Ln, South Shore, Kentucky |
| Authorized Official Name and Position | Joe Robert Joseph (OWNER) |
| Authorized Official Contact | 6147778722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Dental Of South Shore Llc 126 Biggs Ln South Shore KY 41175-7847 Ph: () - | Joseph Dental Of South Shore Llc 126 Biggs Ln South Shore KY 41175-7847 Ph: (606) 932-3181 |
| NPI Number | 1053707240 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053707240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19829 (Ohio) | Primary |