Organization
PAULA GILL, D.M.D FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KAYE GILL D.M.D (OWNER)
(606) 598-7770
Entity
Organization
Contact information
Practice address
350 MANCHESTER SQUARE SHPG CTR, MANCHESTER, KY 40962-8700
(606) 598-7770
Mailing address
PO BOX 157, 350 MANCHESTER SQUARE, MANCHESTER, KY 40962-0157
(606) 598-7770
(606) 598-1769
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45608924
—
KY
Enumeration date
04/30/2008
Last updated
04/30/2008
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