# COMMONWEALTH DENTAL, PSC

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

## Provider details

- **NPI number:** 1306162409
- **Authorized official:** DR. JOHN ROBERT FOOTE JR. DMD (DENTIST)
- **Authorized official phone:** (859) 283-1911

## Contact information

- **Practice address:** 7348 US HIGHWAY 42 STE 101, FLORENCE, KY 41042-1965
- **Practice address phone:** (859) 283-1911
- **Practice address fax:** (859) 283-2218
- **Mailing address:** 7348 US HIGHWAY 42 STE 101, FLORENCE, KY 41042-1965
- **Mailing address phone:** (859) 283-1911
- **Mailing address fax:** (859) 283-2218

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 04/14/2010