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NPI Code Detail

MEDICARE: QUALITY DENTAL CARE

MEDICARE: QUALITY DENTAL CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1538453535
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY DENTAL CARE
Provider Business Mailing Address
First Line : 4207 DIXIE HWY
Second Line :
City : ELSMERE
State : KY
Zip : 41018-1817
Country : US
Telephone Number : 859-342-6300
Fax Number : 859-342-6300
Provider Business Practice Location Address
First Line : 4207 DIXIE HWY
Second Line :
City : ELSMERE
State : KY
Zip : 41018-1817
Country : US
Telephone Number : 859-342-6300
Fax Number : 859-342-6300
Authorized Official
Title or Position : BUSINESS MANAGER
Name : ANTHONY CIANCIOLO
Credential :
Telephone Number : 859-342-6300
Provider Enumeration Date : 06/07/2011
Last Update Date : 06/07/2011

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Directions to “QUALITY DENTAL CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.