Organization
DENNIS ALAN HISE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH D HISE RDH, BHS (SECRETARY,TREASURER,OFFICE MANAGER)
(859) 734-5437
Entity
Organization
Contact information
Practice address
1028 N COLLEGE ST, HARRODSBURG, KY 40330-2227
(859) 734-5437
(859) 734-5437
Mailing address
PO BOX 104, 1028 NORTH COLLEGE ST., HARRODSBURG, KY 40330-0104
(859) 734-5437
(859) 734-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6194092000
—
KY
Enumeration date
03/21/2007
Last updated
08/22/2020
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