Individual
DR. PETER R CIAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
200 MEDICAL CENTER DR, PADUCAH, KY 42003-7911
(270) 442-4374
(270) 442-1878
Mailing address
200 MEDICAL CENTER DR, PADUCAH, KY 42003-7911
(270) 442-4374
(270) 442-1878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5552
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5552
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5425050
UNITED CONCORDIA
KY
05
—
60055522
—
KY
05
—
64055528
—
KY
Enumeration date
03/02/2007
Last updated
05/14/2008
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