Organization
BIG SANDY DENTAL CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A. RATLIFF DMD (PRESIDENT)
(606) 509-8633
Entity
Organization
Contact information
Practice address
180 TOWN MOUNTAIN RD STE 111, PIKEVILLE, KY 41501-1607
(606) 509-8633
(606) 509-8634
Mailing address
180 TOWN MOUNTAIN RD STE 111, PIKEVILLE, KY 41501-1607
(606) 509-8633
(606) 509-8634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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