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Fdc Georgetown Pllc
Dental Clinic/Center in Crescent Springs, Kentucky
NPI 1174235584

Fdc Georgetown Pllc is a Dental Clinic/Center based in Frankfort, KY and is specialized in Dental. Fdc Georgetown Pllc practices in Crescent Springs, KY. The NPI Number for Fdc Georgetown Pllc is 1174235584 and holds a License No. (Kentucky).

The current practice location address for Fdc Georgetown Pllc is 723 Buttermilk Pike, Crescent Springs, KY and can be reached out via phone at 859-431-3900 and via fax at 859-431-5405.

Location: 723 Buttermilk Pike, Crescent Springs, KY, 40601-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174235584
Provider Name
Fdc Georgetown Pllc
Credential
Provider Entity Type
Organization
Address
723 Buttermilk Pike, Crescent Springs, KY, 40601-3523
Phone Number
859-431-3900
Fax Number
859-431-5405
Provider Enumeration Date
12/16/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7615 01 KY LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
723 Buttermilk Pike
City
Crescent Springs
State
Kentucky
Zip
41017-1304
Phone Number
859-431-3900
Fax Number
859-431-5405
person
Provider Business Mailing Address Details
Address
723 Buttermilk Pike
City
Crescent Springs
State
Kentucky
Zip
41017-1304
Phone Number
859-431-3900
Fax Number
859-431-5405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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