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Contact Information

VICCO DENTAL CENTER, P.S.C.
35 LONGFIELD CIRCLE
VICCO, KY41773
 Phone: 606-476-8121
 Fax: 606-476-9541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for VICCO DENTAL CENTER PSC · (Female)

NPI # 1376664615
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 6673
  • KY Medicaid 45608718
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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