Organization
NORVELL FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRICA M NORVELL DMD (OWNER)
(606) 549-0374
Entity
Organization
Contact information
Practice address
821 W. HWY 25W, WILLIAMSBURG, KY 40769
(606) 549-0374
Mailing address
PO BOX 547, WILLIAMSBURG, KY 40769-0547
(606) 549-0374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100376830
—
KY
Enumeration date
10/15/2020
Last updated
10/15/2020
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