# JOHN A ROY DMD PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558589002
- **Authorized official:** DR. JOHN A ROY DMD (PRESIDENT)
- **Authorized official phone:** (270) 821-3423

## Contact information

- **Practice address:** 1410 PRIDE AVE STE C, MADISONVILLE, KY 42431-9107
- **Practice address phone:** (270) 821-3423
- **Mailing address:** 1410 PRIDE AVE STE C, MADISONVILLE, KY 42431-9107
- **Mailing address phone:** (270) 821-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2007
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60046299 | — | KY |