Tates Creek Dental, Psc

NPI #1245734763 in Harrodsburg, Kentucky

Provider Information

NPI Number
1245734763
Entity Type
Organization
Organization Name
Tates Creek Dental, Psc
Subpart
Yes (part of a larger organization)
Parent Organization
TATES CREEK DENTAL, PSC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 20, 2018
Last Updated
Mar 20, 2018

Practice Location

Address
517 LEGION DR
ZIP Code
40330-2186
Phone
(859) 734-7709

Authorized Official

Name
JEFF KING, DMD
Title
DENTIST
Phone
(859) 734-7709

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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