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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 754 (KY) |
| Dental Clinic/Center Primary | 261QD0000X | 7468 (KY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Georgetown
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.