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Individual

DR. JAMES DAVIDSON PHILBRICK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.,F.A.G.D.

Contact information

Practice address
8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
(859) 372-6300
(859) 372-6305
Mailing address
8449 US HIGHWAY 42, SUITE K, FLORENCE, KY 41042-8352
(859) 372-6300
(859) 372-6305

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4855
KY
1223G0001X
General Practice Dentistry
Primary
4855
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4855
STATE LICENSE
KY
01
56-1660291
TAX I.D.
KY
05
60048550
KY
Enumeration date
07/20/2006
Last updated
07/10/2014
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