# KNOX FAMILY DENTISTRY, P.S.C.

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

## Provider details

- **NPI number:** 1467598912
- **Authorized official:** DR. BRENT C. MCDONALD D.M.D. (PRESIDENT)
- **Authorized official phone:** (606) 546-6711

## Contact information

- **Practice address:** 608 KNOX ST, BARBOURVILLE, KY 40906-1304
- **Practice address phone:** (606) 546-6711
- **Practice address fax:** (606) 546-2574
- **Mailing address:** 608 KNOX ST, BARBOURVILLE, KY 40906-1304
- **Mailing address phone:** (606) 546-6711
- **Mailing address fax:** (606) 546-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7384 | KY | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60073848 | — | KY |
| 05 | — | 61900445 | — | KY |