Booneville Family Dentistry
NPI #1053557660 in Booneville, Kentucky
Provider Information
- NPI Number
- 1053557660
- Entity Type
- Organization
- Organization Name
- Booneville Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 2, 2009
- Last Updated
- Jan 2, 2009
Practice Location
- Address
- 706 NORTH COURTHOUSE SQUARE
- City
- Booneville
- State
- Kentucky
- ZIP Code
- 41314
- Phone
- (606) 723-1000
Authorized Official
- Name
- DR. JASON WYNN GAY, D.M.D.
- Title
- OWNER
- Phone
- (606) 723-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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