Organization
CHARLES SAMMONS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SAMMONS DDS (DENTIST)
(606) 638-3400
Entity
Organization
Contact information
Practice address
202 WATER STREET, LOUISA, KY 41230
(606) 638-3400
(606) 638-3410
Mailing address
202 WATER STREET, LOUISA, KY 41230
(606) 638-3400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6092
KY
261QH0100X
Health Service Clinic/Center
6092
KY
Other
Enumeration date
02/22/2008
Last updated
02/18/2010
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