Southern Roots Perio Highland Heights
NPI #1164152260 in Cold Spring, Kentucky
Provider Information
- NPI Number
- 1164152260
- Entity Type
- Organization
- Organization Name
- Southern Roots Perio Highland Heights
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 13, 2022
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 201 MARTHA LAYNE COLLINS BLVD STE B
- City
- Cold Spring
- State
- Kentucky
- ZIP Code
- 41076-1750
- Phone
- (859) 441-4805
Authorized Official
- Name
- MS. CAITLIN BRUCE
- Title
- OFFICE MANAGER
- Phone
- (513) 348-4151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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