Big Sandy Dental Center Psc

NPI #1235475112 in Pikeville, Kentucky

Provider Information

NPI Number: 1235475112
Entity Type: Organization
Organization Name: Big Sandy Dental Center Psc
Primary Specialty: Dentist
Enumeration Date: Dec 20, 2012
Last Updated: Dec 20, 2012

Practice Location

Address: 180 TOWN MOUNTAIN RD STE 111
City: Pikeville
State: Kentucky
ZIP Code: 41501-1607
Phone: (606) 509-8633

Authorized Official

Name: TODD A. RATLIFF, DMD
Title: PRESIDENT
Phone: (606) 509-8633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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