Smiths Grove Family Dentistry

NPI #1528568789 in Smiths Grove, Kentucky

Provider Information

NPI Number
1528568789
Entity Type
Organization
Organization Name
Smiths Grove Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 14, 2018
Last Updated
Feb 14, 2018

Practice Location

Address
148 VINCENT ST
ZIP Code
42171-8183
Phone
(270) 563-4819

Authorized Official

Name
GARY PHILLIP WALDEN, DMD
Title
OWNER
Phone
(270) 563-4819

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Individual Providers

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Provider Name
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