Organization · Type 2 NPI

Proctor Family Dental Radcliff

Dental Clinic/Center · Radcliff, KY

NPI number 1013891225 Active

Practice location

555 W Lincoln Trail Blvd Ste 25
Radcliff, KY 40160-3301

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

About NPI 1013891225

Proctor Family Dental Radcliff's National Provider Identifier is 1013891225, issued on Aug 1, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Radcliff, KY. The record was last updated on Apr 8, 2026.