Organization
JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
Active
Parent organization
JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
Other names
Thompson Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL
Authorized official
CRYSTAL MARIE CLAYCOMB (OFFICE MANAGER)
(502) 868-5999
Entity
Organization
Contact information
Practice address
203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
(502) 868-6999
(502) 868-5944
Mailing address
203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
(502) 868-6999
(502) 868-5944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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