Organization
JOHN A ROY DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A ROY DMD (PRESIDENT)
(270) 821-3423
Entity
Organization
Contact information
Practice address
1410 PRIDE AVE STE C, MADISONVILLE, KY 42431-9107
(270) 821-3423
Mailing address
1410 PRIDE AVE STE C, MADISONVILLE, KY 42431-9107
(270) 821-3423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046299
—
KY
Enumeration date
04/22/2007
Last updated
05/16/2008
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