| Wise Dentistry For Kids, Psc | |
|
105 Medical Park Dr Suite 1 Campbellsville KY 42718-9622 | |
| (270) 469-1403 | |
| (270) 469-1405 |
| Full Name | Wise Dentistry For Kids, Psc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Medical Park Dr, Campbellsville, Kentucky |
| Authorized Official Name and Position | Heather Wise (OWNER/DENTIST) |
| Authorized Official Contact | 2704691403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Dentistry For Kids, Psc 105 Medical Park Drive Suite 1 Campbellsville KY 42718 Ph: (270) 469-1403 | Wise Dentistry For Kids, Psc 105 Medical Park Dr Suite 1 Campbellsville KY 42718-9622 Ph: (270) 469-1403 |
| NPI Number | 1790075166 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790075166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8254 (Kentucky) | Primary |
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