# MT WASHINGTON FAMILY DENTISTRY NITA S ISGRIGG DMD, PSC

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

## Provider details

- **NPI number:** 1801081229
- **Authorized official:** NITA S ISGRIGG (OWNER)
- **Authorized official phone:** (502) 538-3434

## Contact information

- **Practice address:** 110 VILLAGE LN, MT WASHINGTON, KY 40047-7658
- **Practice address phone:** (502) 538-3434
- **Mailing address:** 110 VILLAGE LN, MT WASHINGTON, KY 40047
- **Mailing address phone:** (502) 538-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7359 | KY | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60073590 | — | KY |