Commonwealth Dental Group
NPI #1679179501 in Versailles, Kentucky
Provider Information
- NPI Number
- 1679179501
- Entity Type
- Organization
- Organization Name
- Commonwealth Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 7, 2020
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 426 LEXINGTON RD STE 150
- City
- Versailles
- State
- Kentucky
- ZIP Code
- 40383-1870
- Phone
- (859) 873-4451
Authorized Official
- Name
- JAMES GREGORY WHITE, DMD
- Title
- CEO
- Phone
- (859) 533-1109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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