Organization
MODERN DENTAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA BEGLEY COUCH DMD (OWNER)
(606) 864-1441
Entity
Organization
Contact information
Practice address
735 MEYERS BAKER RD, LONDON, KY 40741-3008
(606) 864-1441
(606) 864-1481
Mailing address
735 MEYERS BAKER ROAD, LONDON, KY 40741
(606) 864-1441
(606) 864-1481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
80000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002532
—
KY
05
—
7100191350
—
KY
Enumeration date
05/09/2012
Last updated
05/09/2012
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