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Organization

JOSEPH HALL HIGGINSON D.M.D., M.S.O.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH H. HIGGINSON D.M.D., M.S.O. (OWNER/SOLE PROPRIETOR)
(270) 684-0822
Entity
Organization

Contact information

Practice address
2868 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-0822
(270) 683-3991
Mailing address
2868 FARRELL CRES, OWENSBORO, KY 42303-1392
(270) 684-0822
(270) 683-3991

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4820
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1740403302
DENTIST ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
KY
Enumeration date
10/20/2010
Last updated
01/27/2011
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