Organization
PEDIATRIC DENTISTY OF PROSPECT, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE M HAMAN-SMITH DMD (PRESIDENT)
(502) 292-1160
Entity
Organization
Contact information
Practice address
12927 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 292-1160
(502) 292-1194
Mailing address
12927 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 292-1160
(502) 292-1194
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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