MAIN STREET DENTAL, LLC

NPI # 

Practice Address:

201 W Main St

Vine Grove, KY, 40175-1304

Practice Phone:

270-877-2011

License Number:

KY6807

License State:

KY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 2/12/2014. You can view the original data set for NPI # 1588909642 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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MAIN STREET DENTAL, LLC's

CMS CPT® coding data

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MAIN STREET DENTAL, LLC's

CMS prescription data

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