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PENNYRILE FAMILY DENTISTRY NPI 1508060070


NPI Information

NPI: 1508060070
Provider Name: PENNYRILE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 18D2073927

Address:
623 MILLBROOKE DR
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 885-4822
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PENNYRILE FAMILY DENTISTRY is a general practice dentist in Hopkinsville, KY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PENNYRILE FAMILY DENTISTRY NPI is 1508060070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

623 MILLBROOKE DR
HOPKINSVILLE, KY
ZIP 42240-241
Phone: (270) 885-4822
Fax: (270) 885-0812

The provider's authorized official is James R Stokes .
The authorized official title is Dentist and has the following contact phone number (270) 885-4822.

The CLIA number assigned to this NPI record is 18D2073927 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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