Audubon Dental Center Psc in Henderson - Dentist
Audubon Dental Center Psc - NPI 1619034915
Audubon Dental Center Psc is a Dentist in Henderson, Kentucky. Audubon Dental Center Psc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Audubon Dental Center Psc is 1619034915. The last update date is 2020-08-22.
Audubon Dental Center Psc's current location address is 716 Second Street, Henderson, Kentucky. You can contact this provider via phone number 2708262092. The mailing address for Audubon Dental Center Psc is 716 Second Street, Henderson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Audubon Dental Center Psc |
|---|---|
| Address | 716 Second Street, Henderson, Kentucky |
| Phone Number | 2708262092 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson Kurtis S |
| Telephone Number | 2708262092 |
NPI Number Detail
| NPI Number | 1619034915 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 716 Second Street |
|---|---|
| City | Henderson |
| State | Kentucky (KY) |
| Post Code | 42420 |
| Phone Number | 2708262092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Audubon Dental Center Psc's unique identification number?
The Audubon Dental Center Psc has been assigned the NPI (National Provider Identifier) Number 1619034915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Audubon Dental Center Psc's facilities are situated?
The facilities of Audubon Dental Center Psc are physically located at the following address: 716 Second Street, Henderson, KY, 42420.
What is Audubon Dental Center Psc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Audubon Dental Center Psc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619034915 to Audubon Dental Center Psc?
The Audubon Dental Center Psc received its 1619034915 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the details related to Audubon Dental Center Psc most recently updated or revised?
The information pertaining to Audubon Dental Center Psc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.