DANVILLE PEDIATRIC DENTISTRY, PSC

DANVILLE, KY
NPI1760772230
Entity TypeOrganization
Authorized ContactJEFFREY T JOHNSON
Owner
859-236-6900
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  7737)
Additional Taxonomies1223P0221X Dentist, Pediatric Dentistry
(Licence: KY  7737)
Enumeration Date2011-04-18
Last Update Date2016-10-25
Business Address
DANVILLE PEDIATRIC DENTISTRY, PSC
1080 BEN ALI DR SUITE A
DANVILLE, KY 40422-8937
Phone number: 859-236-6900
Mailing Address
DANVILLE PEDIATRIC DENTISTRY, PSC
1080 BEN ALI DR SUITE A
DANVILLE, KY 40422-8937
Phone number: 859-236-6900