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Main Street Dental, Llc
Dental Clinic/Center in Vine Grove, Kentucky
NPI 1588909642

Main Street Dental, Llc is a Dental Clinic/Center based in Vine Grove, KY and is specialized in Dental. Main Street Dental, Llc practices in Vine Grove, KY. The NPI Number for Main Street Dental, Llc is 1588909642 and holds a License No. KY6807 (Kentucky).

The current practice location address for Main Street Dental, Llc is 201 W Main St, Vine Grove, KY and can be reached out via phone at 270-877-2011.

Location: 201 W Main St, Vine Grove, KY, 40175-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588909642
Provider Name
Main Street Dental, Llc
Credential
Provider Entity Type
Organization
Address
201 W Main St, Vine Grove, KY, 40175-1304
Phone Number
270-877-2011
Fax Number
Provider Enumeration Date
11/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W Main St
City
Vine Grove
State
Kentucky
Zip
40175-1304
Phone Number
270-877-2011
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Main St
City
Vine Grove
State
Kentucky
Zip
40175-1304
Phone Number
270-877-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
KY6807 (Kentucky)
Definition
Definition to come...
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