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Organization
THE MOREHEAD DENTAL GROUP, PSC
Active
Organization
THE MOREHEAD DENTAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SUE MARSHALL R.D.H. (OFFICE MANAGER)
(606) 784-6436
Entity
Organization
Contact information
Practice address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665
Mailing address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5986
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900551
—
KY
Enumeration date
10/13/2006
Last updated
08/22/2020
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