Organization · Type 2 NPI
Main Street Dental, LLC
Dental Clinic/Center · Vine Grove, KY
NPI number
1588909642
Active
Practice location
201 W Main St
Vine Grove, KY 40175-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | KY6807 (KY) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1588909642
Main Street Dental, LLC's National Provider Identifier is 1588909642, issued on Nov 30, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vine Grove, KY. The record was last updated on Feb 12, 2014.