# FLORENCE MODERN DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florence Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992563142
- **Authorized official:** BACH NGUYEN DDS (OWNER)
- **Authorized official phone:** (859) 475-0849

## Contact information

- **Practice address:** 7753 MALL RD STE E, FLORENCE, KY 41042-3451
- **Practice address phone:** (859) 475-0849
- **Practice address fax:** (859) 475-0847
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8890

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 03/12/2024