Organization
ALBERT E BATHIANY IV DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERT E BATHIANY IV DMD (OWNER)
(859) 781-4100
Entity
Organization
Contact information
Practice address
18 N FORT THOMAS AVE, FORT THOMAS, KY 41075-3098
(859) 781-4100
(859) 781-0170
Mailing address
18 N FORT THOMAS AVE, FORT THOMAS, KY 41075-3098
(859) 781-4100
(859) 781-0170
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61941787
—
KY
Enumeration date
01/09/2008
Last updated
01/09/2008
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