# JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
- **Other names:** Thompson Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821635392
- **Legal business name:** JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
- **Authorized official:** CRYSTAL MARIE CLAYCOMB (OFFICE MANAGER)
- **Authorized official phone:** (502) 868-5999

## Contact information

- **Practice address:** 203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
- **Practice address phone:** (502) 868-6999
- **Practice address fax:** (502) 868-5944
- **Mailing address:** 203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
- **Mailing address phone:** (502) 868-6999
- **Mailing address fax:** (502) 868-5944

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/04/2019