Organization
TIMOTHY J. MCMAHON, D.M.D, PSC, DBA COMFORT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J MCMAHON DMD (OWNER)
(859) 823-0111
Entity
Organization
Contact information
Practice address
300 ARBOR DR STE 5, DRY RIDGE, KY 41035-9489
(859) 823-0111
(859) 823-9111
Mailing address
300 ARBOR DR STE 5, DRY RIDGE, KY 41035-9489
(859) 823-0111
(859) 823-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60049889
—
KY
Enumeration date
10/24/2011
Last updated
10/24/2011
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