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Contact Information

BOONEVILLE FAMILY DENTISTRY
706 NORTH COURTHOUSE SQUARE
BOONEVILLE, KY41314
 Phone: 606-723-1000
 Fax: 606-723-1039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BOONEVILLE FAMILY DENTISTRY · (Female)

NPI # 1053557660
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2009
Last updated 01/02/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 7138
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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