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Pediatric Dentistry Of Georgetown, Pllc
Dental Clinic/Center in Georgetown, Kentucky
NPI 1447331509

Pediatric Dentistry Of Georgetown, Pllc is a Dental Clinic/Center based in Georgetown, KY and is specialized in Dental. Pediatric Dentistry Of Georgetown, Pllc practices in Georgetown, KY. The NPI Number for Pediatric Dentistry Of Georgetown, Pllc is 1447331509 and holds a License No. 754 (Kentucky).

The current practice location address for Pediatric Dentistry Of Georgetown, Pllc is 101 Darby Dr Ste 101, Georgetown, KY and can be reached out via phone at 502-867-0451 and via fax at 502-867-0458.

Location: 101 Darby Dr Ste 101, Georgetown, KY, 40324-8715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447331509
Provider Name
Pediatric Dentistry Of Georgetown, Pllc
Credential
Provider Entity Type
Organization
Address
101 Darby Dr Ste 101, Georgetown, KY, 40324-8715
Phone Number
502-867-0451
Fax Number
502-867-0458
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60003530 05 KY
institution
Provider Business Practice Location Address Details
Address
101 Darby Dr Ste 101
City
Georgetown
State
Kentucky
Zip
40324-8715
Phone Number
502-867-0451
Fax Number
502-867-0458
person
Provider Business Mailing Address Details
Address
101 Darby Dr Ste 101
City
Georgetown
State
Kentucky
Zip
40324-8715
Phone Number
502-867-0451
Fax Number
502-867-0458
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7468 (Kentucky)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
754 (Kentucky)
Definition
Definition to come...
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