Organization
NORTHERN KENTUCKY SMILES
Active
Other names
NKY Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERI L STULL DMD,MS (ORTHODONTIST/OWNER)
(859) 282-8844
Entity
Organization
Contact information
Practice address
1481 CAVALRY DRIVE, SUITE 100, FLORENCE, KY 41042
(859) 282-8844
(859) 283-8742
Mailing address
1481 CAVALRY DRIVE, SUITE 100, FLORENCE, KY 41042
(859) 282-8844
(859) 283-8742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104831759
INSURANCE
KY
01
—
1124151048
INSURANCE
GA
01
—
1275552408
INSURANCE
KY
Enumeration date
03/27/2017
Last updated
03/27/2017
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