FDC GEORGETOWN PLLC NPI 1174235584

NPI Information

NPI: 1174235584
Provider Name: FDC GEORGETOWN PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
723 BUTTERMILK PIKE
CRESCENT SPRINGS, KY
ZIP 41017
Phone: (859) 431-3900
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FDC GEORGETOWN PLLC is a dental clinic center in Crescent Springs, KY. FDC GEORGETOWN PLLC NPI is 1174235584. The provider is registered as an organization entity type.

The provider's business location address is:

723 BUTTERMILK PIKE
CRESCENT SPRINGS, KY
ZIP 41017-304
Phone: (859) 431-3900
Fax: (859) 431-5405

The provider's authorized official is Dwight Patrick Peters .
The authorized official title is Ceo and has the following contact phone number (022) 952-0745.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7615	OTHER	KENTUCKY	LICENCE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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