Breathitt Dental Clinic Psc

NPI #1942577697 in Jackson, Kentucky

Provider Information

NPI Number
1942577697
Entity Type
Organization
Organization Name
Breathitt Dental Clinic Psc
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 23, 2011
Last Updated
Nov 23, 2011

Practice Location

Address
221 HIGHWAY 15 S
ZIP Code
41339-9600
Phone
(606) 666-4020

Authorized Official

Name
DR. ROGER CAMPBELL
Title
OWNER
Phone
(606) 666-4020

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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