# W BRUCE COMBEST PSC

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

## Provider details

- **NPI number:** 1548336985
- **Authorized official:** WILLIAM BRUCE COMBEST DMD (DOCTOR PRESIDENT)
- **Authorized official phone:** (859) 986-4661

## Contact information

- **Practice address:** 402 RICHMOND RD, SUITE C, BEREA, KY 40403
- **Practice address phone:** (859) 986-4661
- **Practice address fax:** (859) 986-3579
- **Mailing address:** 402 RICHMOND RD, SUITE C, BEREA, KY 40403
- **Mailing address phone:** (859) 986-4661
- **Mailing address fax:** (859) 986-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4573 | KY | Yes |
| 124Q00000X | Dental Hygienist | 615 | KY | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 06/13/2013