Organization
KNOX FAMILY DENTISTRY, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT C. MCDONALD D.M.D. (PRESIDENT)
(606) 546-6711
Entity
Organization
Contact information
Practice address
608 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6711
(606) 546-2574
Mailing address
608 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6711
(606) 546-2574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60073848
—
KY
05
—
61900445
—
KY
Enumeration date
01/30/2007
Last updated
08/22/2020
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