NPI 1487767901
Pediatric Dentistry, Psc
Practice location
- Address
- 2000 Carter Ave, Ashland, KY 41101-7737
- Phone
- (606) 329-1440
- Fax
- (606) 329-2441
- Mailing address
- PO Box 1587, Ashland, KY 41105-1587
Authorised official
- Name
- Glenn D Spradlin
- Title
- President/Owner
- Phone
- (606) 329-1440
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1487767901
- Entity type
- Organization
- NPI issued
- 17 Aug 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.