Individual
GREGORY HAYES BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1098 S MAYO TRL, SUITE 103, PIKEVILLE, KY 41501-1546
(606) 432-0187
(606) 433-0900
Mailing address
1098 S MAYO TRL, SUITE 103, PIKEVILLE, KY 41501-1546
(606) 432-0187
(606) 433-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45600046
—
KY
05
—
60065299
—
KY
Enumeration date
07/27/2006
Last updated
07/09/2007
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