Organization
AUDUBON DENTAL CENTER OF PADUCAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CAUDILL DMD (OWNER)
(270) 442-6617
Entity
Organization
Contact information
Practice address
1927 IRVIN COBB DR STE 1, PADUCAH, KY 42003-2105
(270) 442-6617
Mailing address
1927 IRVIN COBB DR., SUITE #1, PADUCAH, KY 42003
(270) 442-6617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5142
KY
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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