Organization · Type 2 NPI
Periodontic & Endodontic Services
Dental Clinic/Center · Middletown, KY
NPI number
1609054584
Active
Practice location
11708 Main St
Middletown, KY 40243-1426
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Middletown
About NPI 1609054584
Periodontic & Endodontic Services's National Provider Identifier is 1609054584, issued on Feb 4, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Middletown, KY. The record was last updated on Feb 4, 2008.