Individual
COREY AUSTIN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 439-1422
Mailing address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-3557
(606) 439-1422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10814
KY
1223G0001X
General Practice Dentistry
Primary
10814
KY
Other
Enumeration date
06/21/2022
Last updated
07/12/2023
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