Dr. Errol Deveaux & Associates Family Dentistry, PSC
Organization Active NPI Dentist · Radcliff, KY
NPI 1043483100 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1043483100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 6705 (KY)
- Legal business name
- DR. ERROL DEVEAUX & ASSOCIATES FAMILY DENTISTRY, PSC
- Practice address
- 309 N. Wilson Rd
Radcliff, KY 40160-2194 - Phone
- (270) 352-4343
- Fax
- (270) 352-2323
- NPI assigned
- Apr 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Errol Deveaux, DDS
- Title
- Ceo
- Phone
- (270) 352-4343
Practitioners 3
-
Errol Deveaux, DDS
-
Tatyana Furman, DMD
-
Theresa C. I. Hayward, D.M.D.
National Provider Directory
Locations
309 N Wilson Rd
Radcliff, KY 40160
Phone (270) 352-4343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 6705 | KY | Yes |
Addresses
Primary practice location
309 N. Wilson Rd
Radcliff, KY 40160-2194
Mailing address
309 N. Wilson Rd
Radcliff, KY 40160-2194
Phone (270) 352-4343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006705500 | Medicaid | KY |
Other names
- DeVeaux Dental Care Center
Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.