Organization
HILLSIDE DENTAL DRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DAVIS (VP OF REVENUE)
(859) 533-1109
Entity
Organization
Contact information
Practice address
232 OLD VIKING DR, MOREHEAD, KY 40351-7579
(606) 784-7033
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
(606) 784-7033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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