Organization
DAVE PHILBRICK DMD PSC
Active
Other names
Weaver Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAVIDSON PHILBRICK DMD (PRESIDENT/OWNER)
(859) 372-6300
Entity
Organization
Contact information
Practice address
8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
(859) 372-6300
(859) 372-6305
Mailing address
8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
(859) 372-6300
(859) 372-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4855
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60048550
—
KY
Enumeration date
11/07/2011
Last updated
11/07/2011
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