Organization
KENTUCKY DENTAL PROFESSIONALS PSC
Active
Parent organization
KENTUCKY DENTAL PROFESSIONALS PSC
Other names
Buttermilk Family and Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY DENTAL PROFESSIONALS PSC
Authorized official
AMY KROEGER (INS COORD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
618 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1302
(859) 344-9222
(859) 344-1490
Mailing address
618 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1302
(859) 344-9222
(859) 344-1490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
10/24/2019
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