# SOMERSET DENTAL PLLC

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

## Provider details

- **NPI number:** 1720582661
- **Authorized official:** DR. JONATHAN HARDY (DENTIST)
- **Authorized official phone:** (606) 679-1204

## Contact information

- **Practice address:** 125 BARNETT ST, SOMERSET, KY 42501-1263
- **Practice address phone:** (606) 679-1204
- **Mailing address:** 125 BARNETT ST, SOMERSET, KY 42501-1263
- **Mailing address phone:** (606) 679-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8614 | KY | Yes |

## Other

- **Enumeration date:** 03/23/2018
- **Last updated:** 03/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1528224268 | NPI | KY |
