| Dr David Lee Oliver, DMD | |
|
202 E Main St, Princeton, KY 42445-1648 | |
| (270) 365-6322 | |
| (270) 365-6322 |
| Full Name | Dr David Lee Oliver |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 202 E Main St, Princeton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104965573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5139 (Kentucky) | Primary |
| Entity Name | Pennyroyal Healthcare Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124319942 PECOS PAC ID: 6002076700 Enrollment ID: O20120404000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Lee Oliver, DMD 202 E Main St, Po Box 477, Princeton, KY 42445-1648 Ph: (270) 365-6322 | Dr David Lee Oliver, DMD 202 E Main St, Princeton, KY 42445-1648 Ph: (270) 365-6322 |
Dr. Lora Diane Sitton, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 W Washington St, Princeton, KY 42445 Phone: 270-365-6174 Fax: 270-365-6174 | |
Dr. Emory P. Spradlin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 406 W Washington St, Princeton, Princeton, KY 42445 Phone: 270-365-7244 Fax: 270-365-7244 | |
Dr. Luis Felipe Miranda, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 406 W Washington St, Princeton, KY 42445 Phone: 270-365-7244 |