Periodontic & Endodontic Services
NPI #1609054584 in Middletown, Kentucky
Provider Information
- NPI Number
- 1609054584
- Entity Type
- Organization
- Organization Name
- Periodontic & Endodontic Services
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 11708 MAIN ST
- City
- Middletown
- State
- Kentucky
- ZIP Code
- 40243-1426
- Phone
- (502) 410-1702
Authorized Official
- Name
- STEVE JAMES
- Title
- COO
- Phone
- (502) 254-8504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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