Organization
PEBBLE CREEK FAMILY DENTISTRY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. SEGEBARTH D.D.S. (OWNER)
(270) 825-2686
Entity
Organization
Contact information
Practice address
2100 N MAIN ST, MADISONVILLE, KY 42431-9007
(270) 825-2686
(270) 821-7306
Mailing address
2100 N MAIN ST, MADISONVILLE, KY 42431-9007
(270) 825-2686
(270) 821-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4359
KY
Other
Enumeration date
02/15/2007
Last updated
03/26/2008
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