# ANSLEY H DEPP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENTAL BLU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033577606
- **Authorized official:** DR. ANSLEY H DEPP DMD (OWNER)
- **Authorized official phone:** (859) 442-8200

## Contact information

- **Practice address:** 2600 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1590
- **Practice address phone:** (859) 442-8200
- **Practice address fax:** (859) 442-9555
- **Mailing address:** 2600 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1590
- **Mailing address phone:** (859) 442-8200
- **Mailing address fax:** (859) 442-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6751 | KY | Yes |

## Other

- **Enumeration date:** 02/10/2016
- **Last updated:** 07/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7519370001 | MEDICARE PTAN | KY |