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Contact Information

FOREVER SMILES
6363 KENTUCKY ROUTE 1428
ALLEN CITY, KY41601
 Phone: 606-949-6971
 Fax: 606-949-6986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FOREVER SMILES · (Female)

NPI # 1083988596
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2012
Last updated 07/18/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 6977
  • KY License # 7084
  • KY Medicaid 60069770
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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