Organization
ANSLEY H DEPP PLLC
Active
Other names
DENTAL BLU
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANSLEY H DEPP DMD (OWNER)
(859) 442-8200
Entity
Organization
Contact information
Practice address
2600 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1590
(859) 442-8200
(859) 442-9555
Mailing address
2600 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1590
(859) 442-8200
(859) 442-9555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6751
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7519370001
MEDICARE PTAN
KY
Enumeration date
02/10/2016
Last updated
07/26/2016
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