# DAVIS COSMETIC AND FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063808277
- **Authorized official:** DENITA DAVIS (HR & PRACTICE MANAGER)
- **Authorized official phone:** (502) 744-3988

## Contact information

- **Practice address:** 115 E FLAGET ST, BARDSTOWN, KY 40004-1517
- **Practice address phone:** (502) 836-2830
- **Mailing address:** 115 E FLAGET ST, BARDSTOWN, KY 40004-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8660 | KY | Yes |

## Other

- **Enumeration date:** 04/14/2015
- **Last updated:** 04/14/2015