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Organization

HIGHFIVE ENDODONTICS KENTUCKY, LLC

Active
Other names
Purchase Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELA K SHIELDS DMD, ENDODONTIST (DMD/ OWNER)
(270) 534-8881
Entity
Organization

Contact information

Practice address
3429 LONE OAK RD STE 1, PADUCAH, KY 42003-5775
(270) 534-8881
(270) 534-0115
Mailing address
3429 LONE OAK RD STE 1, PADUCAH, KY 42003-5775
(270) 534-8881
(270) 534-0115

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
09/18/2023
Last updated
10/02/2023
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