# CYNTHIANA DENTAL CENTER

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

## Provider details

- **NPI number:** 1154607190
- **Authorized official:** JEWELL R MEADE DMD (DENTIST)
- **Authorized official phone:** (859) 987-3290

## Contact information

- **Practice address:** 111 KY HIGHWAY 32 W STE 2, CYNTHIANA, KY 41031-8574
- **Practice address phone:** (859) 234-9944
- **Mailing address:** 111 KY HIGHWAY 32 W STE 2, CYNTHIANA, KY 41031-8574
- **Mailing address phone:** (859) 234-9944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6683 | KY | — |
| 122300000X | Dentist | 8719 | KY | — |
| 1223G0001X | General Practice Dentistry | 6683 | KY | Yes |
| 1223G0001X | General Practice Dentistry | 8719 | KY | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 06/29/2020