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Organization
EADES FAMILY DENTISTRY
Active
Organization
EADES FAMILY DENTISTRY
Active
Other names
Greenville Family Dentistry PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRYAN EADES DMD (OWNER)
(270) 754-1404
Entity
Organization
Contact information
Practice address
1603 W EVERLY BROS BLVD SUITE 2A, CENTRAL CITY, KY 42330
(270) 754-1404
Mailing address
1603 W EVERLY BROS BLVD SUITE 2A, CENTRAL CITY, KY 42330
(270) 754-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224230
—
KY
Enumeration date
08/16/2012
Last updated
10/27/2014
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