Organization · Type 2 NPI

Pediatric Dentistry of Georgetown, PLLC

Dental Clinic/Center · Georgetown, KY

NPI number 1447331509 Active

Practice location

101 Darby Dr Ste 101
Georgetown, KY 40324-8715

Fax (502) 867-0458

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X754 (KY)
Dental Clinic/Center Primary 261QD0000X7468 (KY)

Dental Clinic/Center: Definition to come...

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About NPI 1447331509

Pediatric Dentistry of Georgetown, PLLC's National Provider Identifier is 1447331509, issued on Oct 17, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Georgetown, KY. The record was last updated on May 14, 2008.