Organization
EDGEWOOD DENTAL CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MCMAHON DMD (DENTIST)
(859) 331-3400
Entity
Organization
Contact information
Practice address
155 BARNWOOD DRIVE, STE 1, EDGEWOOD, KY 41017
(859) 331-3400
(859) 331-6429
Mailing address
155 BARNWOOD DR, SUITE 1, EDGEWOOD, KY 41017-2585
(859) 331-3400
(859) 331-6429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4333
KY
1223G0001X
General Practice Dentistry
Primary
6007
KY
1223G0001X
General Practice Dentistry
8628
KY
1223G0001X
General Practice Dentistry
9229
KY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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