Organization
BEVERLY A LARGENT, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY LARGENT (OWNER/DENTIST)
(270) 554-5437
Entity
Organization
Contact information
Practice address
3008 OREGON ST, PADUCAH, KY 42001-5651
(270) 554-5437
(270) 554-5236
Mailing address
3008 OREGON ST, PADUCAH, KY 42001-5651
(270) 554-5437
(270) 554-5236
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60054665
—
KY
05
—
7100001640
—
KY
Enumeration date
09/21/2007
Last updated
01/23/2013
Update your record
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