NPI 1871715300

Baughman & Ewald, P.S.C.

Organisation Point of Service Fairdale,, KY

Practice location

Address: 508 Fairdale Road, Fairdale,, KY 40118
Phone: (502) 361-1872
Fax: (502) 363-0539

Authorised official

Name: Mary Tyler Ewald
Title: Dentist
Phone: (502) 361-1872

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 5271 (KY)

Other Point of Service providers in Kentucky →

Registry record

NPI: 1871715300
Entity type: Organization
NPI issued: 3 May 2007
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.