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Organization
REBEKAH W. BRANSCUM, DMD, PSC
Active
Organization
REBEKAH W. BRANSCUM, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY HATFIELD (OFFICE MANAGER)
(606) 636-3431
Entity
Organization
Contact information
Practice address
8536 W HIGHWAY 80, NANCY, KY 42544-7744
(606) 636-4311
(606) 636-4315
Mailing address
PO BOX 906, NANCY, KY 42544-0906
(606) 636-4311
(606) 636-4315
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002979
—
KY
05
—
7100606180
—
KY
Enumeration date
07/22/2019
Last updated
07/22/2019
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