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Organization

WEBSTER ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WILLIAM WEBSTER DMD (PRESIDENT)
(859) 236-1912
Entity
Organization

Contact information

Practice address
359 S 4TH ST STE B, DANVILLE, KY 40422-2078
(859) 236-1912
(859) 236-4589
Mailing address
359 S 4TH ST STE B, DANVILLE, KY 40422-2078
(859) 236-1912
(859) 236-4589

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4145
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8235
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558490573
NPI NUMBER
KY
01
1558559047
NPI NUMBER
KY
05
7100016180
KY
Enumeration date
10/29/2008
Last updated
10/29/2008
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