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Organization

UNIVERSITY OF PIKEVILLE

Active
Parent organization
UNIVERSITY OF PIKEVILLE
Other names
Tanner College of Dental Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF PIKEVILLE
Authorized official
DR. JILL ELIZABETH KEATON DMD (DEAN)
(606) 218-5465
Entity
Organization

Contact information

Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5465
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/11/2024
Last updated
09/11/2024
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