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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

NPI # 1053557660
LBN Legal business name BOONEVILLE FAMILY DENTISTRY
Authorized official JASON GAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2009
Last updated 01/02/2009 - About 17 years ago
Identifiers
KY License # 7138
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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