Organization
BOTTS ELEMENTARY DENTAL CLINIC
Active
Other names
Gateway District Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DEAN BREWER (ASST. DIRECTOR)
(606) 674-6396
Entity
Organization
Contact information
Practice address
HWY 460, DENNISTON, KY 40316
(606) 768-8058
(606) 768-8100
Mailing address
BOX 39, DENNISTON, KY 40316
(606) 674-6396
(606) 674-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61940482
—
KY
Enumeration date
05/13/2008
Last updated
05/13/2008
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