Individual
EMMA REISTER PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 527-8441
(270) 527-4187
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-1884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11337
KY
Other
Enumeration date
03/12/2025
Last updated
06/09/2025
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