Fdc Georgetown Pllc
NPI #1174235584 in Crescent Springs, Kentucky
Provider Information
- NPI Number
- 1174235584
- Entity Type
- Organization
- Organization Name
- Fdc Georgetown Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 16, 2022
- Last Updated
- Dec 16, 2022
Practice Location
- Address
- 723 BUTTERMILK PIKE
- City
- Crescent Springs
- State
- Kentucky
- ZIP Code
- 41017-1304
- Phone
- (859) 431-3900
Authorized Official
- Name
- DR. DWIGHT PATRICK PETERS, MD
- Title
- CEO
- Phone
- (022) 952-0745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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