Organization
ELKHORN DENTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D JUSTICE DMD (OWNER/PRESIDENT)
(606) 754-0155
Entity
Organization
Contact information
Practice address
155 E MAIN ST, ELKHORN CITY, KY 41522-9043
(606) 754-0155
(606) 754-0151
Mailing address
PO BOX 1500, ELKHORN CITY, KY 41522-1500
(606) 754-0155
(606) 754-0151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
12/16/2020
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