Combs, Anastasia Morgan
Combs, Anastasia Morgan is an individual health care provider with primary practice located at 2300 Terra Crossing Blvd Ste 107 , Louisville KY 40245-5906. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Combs, Anastasia Morgan can be contacted via phone (502) 709-7285.Contact Information
Primary practice address
2300 Terra Crossing Blvd Ste 107
Louisville KY 40245-5906
Phone: (502) 709-7285
Fax: (502) 305-6520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 8200 | Kentucky |
Dental Providers / Dentist | 122300000X | 8200 | Kentucky |
Profile Details
NPI number | 1326015702 |
---|---|
LBN Legal business name | Combs, Anastasia Morgan |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Oct 19th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326015702 | NPPES |
Kentucky | MEDICAID | 60003563 | |
Kentucky | Other | 7100191280 |
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