Individual
DR. JOHN PATRICK DISPONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
250 EDGEWOOD DR, NICHOLASVILLE, KY 40356-1869
(859) 885-9577
(859) 885-0431
Mailing address
250 EDGEWOOD DR, NICHOLASVILLE, KY 40356-1869
(859) 885-9577
(859) 885-0431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112179
BC BS OF TN
KY
05
—
60068053
—
KY
01
—
6238
PASSPORT
KY
Enumeration date
03/12/2007
Last updated
10/21/2019
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