Organization
THE MOREHEAD DENTAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SUE MARSHALL R.D.H. (OFFICE MANAGER)
(606) 784-6436
Entity
Organization
Contact information
Practice address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665
Mailing address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5986
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900551
—
KY
Enumeration date
10/13/2006
Last updated
08/22/2020
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