Pope-Burns, Sally

Pope-Burns, Sally is an individual health care provider with primary practice located at 1907 Old Main St , Maysville KY 41056-8926. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pope-Burns, Sally can be contacted via phone (606) 759-5401.

Contact Information

Primary practice address
1907 Old Main St Maysville KY 41056-8926
Fax: (606) 759-5783
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6783 Kentucky

Profile Details

NPI number 1083765853
LBN Legal business name Pope-Burns, Sally
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083765853 NPPES
Kentucky Other 642325 UNITED CONCORDIA
Kentucky MEDICAID 60067832 UNITED CONCORDIA
Kentucky MEDICAID 6194309800 UNITED CONCORDIA
Kentucky MEDICAID 4500384500 UNITED CONCORDIA

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