Organization
FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R WATKINS DMD (PRESIDENT CEO)
(859) 881-4633
Entity
Organization
Contact information
Practice address
704 N MAIN STREET, NICHOLASVILLE, KY 40356
(859) 881-4633
(859) 885-2663
Mailing address
704 N MAIN STREET, NICHOLASVILLE, KY 40356
(859) 881-4633
(859) 885-2663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5175
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900775
—
KY
Enumeration date
01/09/2007
Last updated
08/22/2020
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