Greenville Family Dentistry Psc

LBN: Eades Family Dentistry
Greenville Family Dentistry Psc is an health care organization with primary practice located at 1603 W Everly Bros Blvd Suite 2A , Central City KY 42330. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eades Family Dentistry can be contacted via phone (270) 754-1404, or through Eades, William Bryan via phone (270) 754-1404.

Contact Information

Primary practice address
1603 W Everly Bros Blvd Suite 2A Central City KY 42330
Phone: (270) 754-1404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eades, William Bryan Doctor of Dental Medicine (DMD)
Phone: (270) 754-1404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1154679520
LBN Legal business name Eades Family Dentistry
DBA Doing business as Greenville Family Dentistry Psc
Authorized official Eades, William Bryan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Oct 27th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154679520 NPPES
Kentucky MEDICAID 7100224230

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