Organization · Type 2 NPI
Commonwealth Periodontics & Implant Center
Periodontics · London, KY
NPI number
1053767053
Active
Practice location
1545 S Main St
London, KY 40741-2071
Fax (606) 864-8774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6224 (KY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1053767053
Commonwealth Periodontics & Implant Center's National Provider Identifier is 1053767053, issued on May 9, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in London, KY. The record was last updated on May 9, 2016.