Organization
DENTAL PROFESSIONAL OF KENTUCKY PSC
Active
Other names
Blossom Park Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M KROEGER (INSURANCE COOD)
(218) 540-5100
Entity
Organization
Contact information
Practice address
240 BLOSSOM PARK DR, SUITE 2, GEORGETOWN, KY 40324-9079
(502) 570-8841
(502) 570-8891
Mailing address
240 BLOSSOM PARK DR, SUITE 2, GEORGETOWN, KY 40324-9079
(502) 570-8841
(502) 570-8891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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