# BOTTS ELEMENTARY DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway District Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639346257
- **Authorized official:** MR. GREGORY DEAN BREWER (ASST. DIRECTOR)
- **Authorized official phone:** (606) 674-6396

## Contact information

- **Practice address:** HWY 460, DENNISTON, KY 40316
- **Practice address phone:** (606) 768-8058
- **Practice address fax:** (606) 768-8100
- **Mailing address:** BOX 39, DENNISTON, KY 40316
- **Mailing address phone:** (606) 674-6396
- **Mailing address fax:** (606) 674-3071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008