Organization
PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI BROWN DMD (DENTIST)
(606) 877-3002
Entity
Organization
Contact information
Practice address
39 WACO DR, LONDON, KY 40741-8327
(606) 877-3002
(606) 877-3024
Mailing address
39 WACO DR, LONDON, KY 40741-8327
(606) 877-3002
(606) 877-3024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71000889
—
KY
Enumeration date
11/14/2011
Last updated
11/14/2011
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