Individual
DR. ROBERT THOMAS WARRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
120 EDWARDS AVE, SUITE B, GEORGETOWN, KY 40324-9740
(502) 863-1505
(502) 863-1505
Mailing address
120 EDWARDS AVE, SUITE B, GEORGETOWN, KY 40324-9740
(502) 863-1505
(502) 863-1505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6171
KY
1223G0001X
General Practice Dentistry
Primary
6171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061710
—
KY
Enumeration date
04/13/2006
Last updated
11/15/2007
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