# CHRIS BOSTICK, DMD,PLLC

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

## Provider details

- **NPI number:** 1598919615
- **Authorized official:** DR. CHRIS BOSTICK DMD (OWNER)
- **Authorized official phone:** (859) 236-1810

## Contact information

- **Practice address:** 129 DANIEL DR, DANVILLE, KY 40422-2527
- **Practice address phone:** (859) 236-1810
- **Practice address fax:** (859) 236-1802
- **Mailing address:** 129 DANIEL DR, DANVILLE, KY 40422-2527
- **Mailing address phone:** (859) 236-1810
- **Mailing address fax:** (859) 236-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8078 | KY | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100050480 | — | KY |