Individual
DEBORAH E VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2741 WINCHESTER AVE, ASHLAND, KY 41101-1928
(606) 324-1117
(606) 324-2336
Mailing address
PO BOX 69, ASHLAND, KY 41105-0069
(606) 324-1117
(606) 324-2336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064920
—
KY
Enumeration date
09/27/2006
Last updated
07/08/2007
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