Individual
DR. EDYEE MULLINS STURGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MD
Contact information
Practice address
895 WILKINSON TRCE STE B, BOWLING GREEN, KY 42103-2486
(270) 715-0700
Mailing address
895 WILKINSON TRCE STE B, BOWLING GREEN, KY 42103-2486
(270) 715-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6659
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60066594
—
KY
05
—
64343692
—
KY
Enumeration date
09/07/2006
Last updated
08/11/2015
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