Individual
BRENT BEVINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1132 GREENUP ST, COVINGTON, KY 41011-3256
(859) 655-6100
(859) 655-6125
Mailing address
1132 GREENUP ST, COVINGTON, KY 41011-3256
(859) 655-6100
(859) 655-6125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60044351
—
KY
Enumeration date
07/19/2005
Last updated
07/08/2007
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