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Organization

DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.

Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Other names
Dental Care at Triple Crown
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization

Contact information

Practice address
450 RICHWOOD RD STE 305, WALTON, KY 41094-7440
(859) 419-0768
(859) 419-0769
Mailing address
450 RICHWOOD RD STE 305, WALTON, KY 41094-7440
(859) 419-0768

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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