| NPI | 1720404478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEWIS MEADE President 606-638-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 6598) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 6690) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |