Organization
PAINTSVILLE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WAYNE PRATT DMD (DENTIST/OWNER)
(606) 372-5000
Entity
Organization
Contact information
Practice address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 372-5000
Mailing address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 372-5000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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