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Organization

J. MARK HUNTSMAN DMD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MARK HUNTSMAN D.M.D. (PRESIDENT)
(270) 237-3655
Entity
Organization

Contact information

Practice address
199 W MAIN ST, SCOTTSVILLE, KY 42164-1120
(270) 237-3655
(270) 237-3278
Mailing address
199 W MAIN ST, SCOTTSVILLE, KY 42164-1120
(270) 237-3655
(270) 237-3278

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4123
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60041233
KY
Enumeration date
01/10/2007
Last updated
08/22/2020
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