Andrea G. Haydon, Dmd Pllc

NPI #1487803367 in Bardstown, Kentucky

Provider Information

NPI Number: 1487803367
Entity Type: Organization
Organization Name: Andrea G. Haydon, Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 202 W. STEPHEN FOSTER AVENUE
Address 2: SUITE E
City: Bardstown
State: Kentucky
ZIP Code: 40004
Phone: (502) 348-0908

Authorized Official

Name: DR. ANDREA GOATLEY HAYDON, DMD
Title: DENTIST/OWNER OF BUSINESS
Phone: (502) 348-0908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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