Healthcare Provider Details

I. General information

NPI: 1255155883
Provider Name (Legal Business Name): TURNER FAMILY DENTISTRY PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1982 UNION SCHOOL RD
UNION KY
41091-3517
US

IV. Provider business mailing address

1982 UNION SCHOOL RD
UNION KY
41091-3517
US

V. Phone/Fax

Practice location:
  • Phone: 859-384-0776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: BRYAN TURNER
Title or Position: OWNER
Credential:
Phone: 859-384-0776