# ASSOCIATES IN DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1104999218
- **Authorized official:** DR. KYLE PATRICK STEWART DMD (PARTNER)
- **Authorized official phone:** (270) 866-8891

## Contact information

- **Practice address:** 2289 LAKEWAY DR., SUITE 5, RUSSELL SPRINGS, KY 42642-0858
- **Practice address phone:** (270) 866-8891
- **Mailing address:** PO BOX 858, KEY VILLAGE SHOPPING CENTER, RUSSELL SPRINGS, KY 42642-0858
- **Mailing address phone:** (270) 866-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5243 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 10/15/2013