# BRET A. AVRA, DMD, PSC.

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

## Provider details

- **NPI number:** 1093887937
- **Authorized official:** BRET A AVRA DMD (PRESIDENT)
- **Authorized official phone:** (270) 443-1717

## Contact information

- **Practice address:** 2605 KENTUCKY AVE, STE \#302, PADUCAH, KY 42003-3800
- **Practice address phone:** (270) 443-1717
- **Practice address fax:** (270) 443-0517
- **Mailing address:** 2605 KENTUCKY AVENUE, STE \#302, PADUCAH, KY 42003-3801
- **Mailing address phone:** (270) 443-1717
- **Mailing address fax:** (270) 443-0517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6283 | KY | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020