Organization
EADES FAMILY DENTISTRY
Active
Other names
Greenville Family Dentistry PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRYAN EADES DMD (OWNER)
(270) 754-1404
Entity
Organization
Contact information
Practice address
1603 W EVERLY BROS BLVD SUITE 2A, CENTRAL CITY, KY 42330
(270) 754-1404
Mailing address
1603 W EVERLY BROS BLVD SUITE 2A, CENTRAL CITY, KY 42330
(270) 754-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224230
—
KY
Enumeration date
08/16/2012
Last updated
10/27/2014
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