# AUDUBON DENTAL CENTER OF PADUCAH

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

## Provider details

- **NPI number:** 1588712236
- **Authorized official:** JAMES M CAUDILL DMD (OWNER)
- **Authorized official phone:** (270) 442-6617

## Contact information

- **Practice address:** 1927 IRVIN COBB DR STE 1, PADUCAH, KY 42003-2105
- **Practice address phone:** (270) 442-6617
- **Mailing address:** 1927 IRVIN COBB DR., SUITE \#1, PADUCAH, KY 42003
- **Mailing address phone:** (270) 442-6617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5142 | KY | Yes |

## Other

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