Individual
GREGORY TANNER LIGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
148 PAVILION PKWY, NEWPORT, KY 41071-2884
(859) 394-0020
Mailing address
148 PAVILION PKWY, NEWPORT, KY 41071-2884
(937) 751-0188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11016
KY
Other
Enumeration date
06/27/2023
Last updated
08/01/2023
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