Kentucky River Dentistry, Psc

LBN: Kentucky River Dentistry, Psc
Kentucky River Dentistry, Psc is an health care organization with primary practice located at 161 Richmond Rd , Irvine KY 40336-7222. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kentucky River Dentistry, Psc can be contacted via phone (606) 723-4112, or through Jordan, Jane via phone (606) 723-4112.

Contact Information

Primary practice address
161 Richmond Rd Irvine KY 40336-7222
Phone: (606) 723-4112
Fax: (606) 723-5372
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Jane Doctor of Dental Medicine (DMD)
Phone: (606) 723-4112

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6144 Kentucky

Profile Details

NPI number 1821131954
LBN Legal business name Kentucky River Dentistry, Psc
DBA Doing business as
Authorized official Jordan, Jane Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Sep 23rd, 2013 - 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 1821131954 NPPES
Kentucky MEDICAID 61900221

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