Healthcare Provider Details

I. General information

NPI: 1093561243
Provider Name (Legal Business Name): POST CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 STERLING AVE
MOUNT STERLING KY
40353-1139
US

IV. Provider business mailing address

35 STERLING AVE
MOUNT STERLING KY
40353-1139
US

V. Phone/Fax

Practice location:
  • Phone: 859-498-0231
  • Fax: 859-432-8214
Mailing address:
  • Phone: 859-498-0231
  • Fax: 859-432-8214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES WILLIAM TINGLE
Title or Position: DENTAL DIRECTOR
Credential: DMD
Phone: 606-776-9933