Individual
GEORGE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-1559
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5769
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60057692
—
KY
Enumeration date
05/08/2007
Last updated
07/08/2007
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