Organization
ALDERDICE ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization
ALDERDICE ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNIE ALDERDICE SR. D.M.D. (OWNER)
(606) 679-8568
Entity
Organization
Contact information
Practice address
100 HARDIN LN, STE B, SOMERSET, KY 42503-3812
(606) 679-8568
(606) 676-0868
Mailing address
100 HARDIN LN, STE B, SOMERSET, KY 42503-3812
(606) 679-8568
(606) 676-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4939
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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