Organization
DEBORAH VINCENT DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ELLEN VINCENT DMD (DOCTOR)
(606) 324-1117
Entity
Organization
Contact information
Practice address
2741 WINCHESTER AVE, ASHLAND, KY 41101-1928
(606) 324-1117
(606) 324-2336
Mailing address
2741 WINCHESTER AVE, ASHLAND, KY 41101-1928
(606) 324-1117
(606) 324-2336
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6492
LICENSE
KY
Enumeration date
07/07/2020
Last updated
07/07/2020
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