| NPI | 1396020301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWELL R MEADE Owner/Dentist 859-987-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2012-09-28 |