# GEORGETOWN FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1144845439
- **Authorized official:** TRISTAN THOMPSON DMD (OWNER)
- **Authorized official phone:** (270) 485-6862

## Contact information

- **Practice address:** 227 E MAIN ST, GEORGETOWN, KY 40324-1711
- **Practice address phone:** (502) 753-0609
- **Mailing address:** 227 E MAIN ST, GEORGETOWN, KY 40324-1711
- **Mailing address phone:** (502) 753-0609
- **Mailing address fax:** (502) 753-0609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2020
- **Last updated:** 06/11/2020