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Organization
JESSAMINE FAMILY DENTISTRY PLLC
Active
Organization
JESSAMINE FAMILY DENTISTRY PLLC
Active
Other names
WINCHESTER FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY FERRELL (DIRECTOR OF OPERATIONS)
(859) 885-9577
Entity
Organization
Contact information
Practice address
996 N MAIN ST, NICHOLASVILLE, KY 40356-2308
(859) 885-9577
Mailing address
996 N MAIN ST, NICHOLASVILLE, KY 40356-2308
(859) 885-9577
(859) 885-0431
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
04/26/2023
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