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Contact Information

LEROY D COUCH, DMD
107 BRENTWOOD PL
CORBIN, KY40701
 Phone: 606-528-5600
 Fax: 606-528-5604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LEROY D COUCH · (Male)

NPI # 1518015932
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/08/2007
Last updated 03/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 7855
  • KY Medicaid 60003092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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