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General NPI Number Information
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NPI Number | 1326904863
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Entity Type | Organization
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Legal Business Name | OVERBY FAMILY DENTISTRY
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 720 S 7TH ST
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City | MAYFIELD
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State | KY
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Zip | 42066-3032
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Country | US
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Telephone | 270-247-7173
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Fax | 270-356-1285
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Provider Business Mailing Address
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Address Line | 720 S 7TH ST
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City | MAYFIELD
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State | KY
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Zip | 42066-3032
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Country | US
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Telephone | 270-247-7173
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Fax | 270-356-1285
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RYAN OVERBY
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Credential | DMD
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Telephone | 270-339-5835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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