Organization
CYNTHIANA DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWELL R MEADE DMD (DENTIST)
(859) 987-3290
Entity
Organization
Contact information
Practice address
111 KY HIGHWAY 32 W STE 2, CYNTHIANA, KY 41031-8574
(859) 234-9944
Mailing address
111 KY HIGHWAY 32 W STE 2, CYNTHIANA, KY 41031-8574
(859) 234-9944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6683
KY
122300000X
Dentist
8719
KY
1223G0001X
General Practice Dentistry
Primary
6683
KY
1223G0001X
General Practice Dentistry
8719
KY
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/21/2011
Last updated
06/29/2020
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