Bardstown On Call Dental

NPI #1013443894 in Bardstown, Kentucky

Provider Information

NPI Number
1013443894
Entity Type
Organization
Organization Name
Bardstown On Call Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017

Practice Location

Address
621 N 3RD ST
ZIP Code
40004-1750
Phone
(502) 349-3289

Authorized Official

Name
DR. JAY RYAN CLAYWELL, DMD
Title
DENTIST
Phone
(502) 349-3289

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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