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Organization
SOMERSET DENTAL PLLC
Active
Organization
SOMERSET DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HARDY (DENTIST)
(606) 679-1204
Entity
Organization
Contact information
Practice address
125 BARNETT ST, SOMERSET, KY 42501-1263
(606) 679-1204
Mailing address
125 BARNETT ST, SOMERSET, KY 42501-1263
(606) 679-1204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528224268
NPI
KY
Enumeration date
03/23/2018
Last updated
03/23/2018
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