# OHIO COUNTY FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1720444532
- **Authorized official:** KAREN DENISE STEVENS (OFFICE MANAGER)
- **Authorized official phone:** (270) 256-5757

## Contact information

- **Practice address:** 1221 N MAIN ST, BEAVER DAM, KY 42320-8955
- **Practice address phone:** (270) 274-3379
- **Practice address fax:** (270) 274-4600
- **Mailing address:** 1221 N MAIN ST, BEAVER DAM, KY 42320-8955
- **Mailing address phone:** (270) 274-3379
- **Mailing address fax:** (270) 274-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4281 | KY | Yes |

## Other

- **Enumeration date:** 01/08/2016
- **Last updated:** 01/08/2016