# DAVE PHILBRICK DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weaver Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366729220
- **Authorized official:** DR. JAMES DAVIDSON PHILBRICK DMD (PRESIDENT/OWNER)
- **Authorized official phone:** (859) 372-6300

## Contact information

- **Practice address:** 8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
- **Practice address phone:** (859) 372-6300
- **Practice address fax:** (859) 372-6305
- **Mailing address:** 8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
- **Mailing address phone:** (859) 372-6300
- **Mailing address fax:** (859) 372-6305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4855 | KY | Yes |

## Other

- **Enumeration date:** 11/07/2011
- **Last updated:** 11/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60048550 | — | KY |