Organization
DENTAL SERVICES OF KENTUCKY, PSC
Active
Parent organization
DENTAL SERVICES OF KENTUCKY, PSC
Other names
ImmediaDent
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SERVICES OF KENTUCKY, PSC
Authorized official
AMY WHEELER (CREDENTIALING COORDINATOR)
(913) 800-6952
Entity
Organization
Contact information
Practice address
4960 HOUSTON RD, STE G, FLORENCE, KY 41042-5132
(859) 371-1505
(866) 591-0604
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 428-1674
(866) 591-0604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8972
KY
Other
Enumeration date
11/11/2008
Last updated
04/12/2017
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