Organization
STERLING FAMILY DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON KELLY JOHNSON D.M.D. (DENTIST DIRECT OWNER)
(859) 498-7130
Entity
Organization
Contact information
Practice address
100 E HIGH ST, MT STERLING, KY 40353-1214
(859) 498-7130
(859) 498-7138
Mailing address
100 E HIGH ST, MT STERLING, KY 40353-1214
(859) 498-7130
(859) 498-7138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60070570
—
KY
Enumeration date
01/25/2007
Last updated
09/26/2011
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