NPI 1003251455

Ryan H Peace, DMD

Practitioner General Practice Dentistry Elizabethtown, KY

Practice location

Address: 2865 Ring Rd Suite 100, Elizabethtown, KY 42701-9114
Phone: (270) 765-7212
Fax: (270) 769-3797

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 9337 (KY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003251455
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2013
Record last updated: 26 Jan 2017

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.