Individual
DR. GREGORY SCOTT CAUDILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
508 N MAYSVILLE RD, MT STERLING, KY 40353
(859) 498-1380
Mailing address
PO BOX 1205, MT STERLING, KY 40353
(859) 498-1380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064557
—
KY
Enumeration date
01/18/2006
Last updated
02/11/2022
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