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Dr. Gary Phillip Walden, DMD
General Practice Dentistry in Smiths Grove, Kentucky
NPI 1316207566

Gary Phillip Walden is a General Practice Dentistry based in Smiths Grove, KY and is specialized in General Practice. Gary Phillip Walden practices in Smiths Grove, KY and has the professional credentials of DMD. The NPI Number for Gary Phillip Walden is 1316207566 and holds a License No. 9168 (Kentucky).

The current practice location address for Gary Phillip Walden is 148 Vincent Street, Smiths Grove, KY and can be reached out via phone at 270-563-4819 and via fax at 270-563-4819.

Location: 148 Vincent Street, Smiths Grove, KY, 42171-0370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316207566
Provider Name
Gary Phillip Walden
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
148 Vincent Street, Smiths Grove, KY, 42171-0370
Phone Number
270-563-4819
Fax Number
270-563-4819
Provider Enumeration Date
05/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9168 01 KY DENTAL INSURANCE
institution
Provider Business Practice Location Address Details
Address
148 Vincent Street
City
Smiths Grove
State
Kentucky
Zip
42171
Phone Number
270-563-4819
Fax Number
270-563-4819
person
Provider Business Mailing Address Details
Address
148 Vincent Street
City
Smiths Grove
State
Kentucky
Zip
42171
Phone Number
270-563-4819
Fax Number
270-563-4819
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9168 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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