Justice Dental Georgetown DBA Thompson Family Dental
NPI #1821635392 in Georgetown, Kentucky
Provider Information
- NPI Number
- 1821635392
- Entity Type
- Organization
- Organization Name
- Justice Dental Georgetown DBA Thompson Family Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 203 CHAMPION WAY STE 6
- City
- Georgetown
- State
- Kentucky
- ZIP Code
- 40324-8861
- Phone
- (502) 868-6999
Authorized Official
- Name
- CRYSTAL MARIE CLAYCOMB
- Title
- OFFICE MANAGER
- Phone
- (502) 868-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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