Pediatric Dentistry of Shelbyville

NPI #1770748790 in Shelbyville, Kentucky

Provider Information

NPI Number
1770748790
Entity Type
Organization
Organization Name
Pediatric Dentistry of Shelbyville
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 21, 2008
Last Updated
Oct 8, 2009

Practice Location

Address
141 STONECREST RD
ZIP Code
40065-8164
Phone
(502) 633-4441

Authorized Official

Name
MS. AMY E RAISOR
Title
OFFICE MANAGER
Phone
(502) 633-4441

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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