Emma Bale, DMD
Individual provider Active NPI General Practice Dentistry · Scottsville, KY
NPI 1083058481 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1083058481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9212 (KY)
- Practice address
- 306 B. N. CT. St.
Scottsville, KY 42164 - Phone
- (270) 237-3521
- Fax
- (843) 797-8189
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140513000352 | SC | Order and Referring Only - Oral Surgery |
4486887759 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8194 | SC | MD | Professional Counselor |
| 9212 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8194 | SC | |
| General Practice Dentistry |
1223G0001X | 9212 | KY | Yes |
Addresses
Primary practice location
306 B. N. CT. St.
Scottsville, KY 42164
Mailing address
306 B N. CT. St.
Scottsville, KY 42164
Phone (502) 794-0135
Other providers in Scottsville, KY
- Allen County Health Department
- Allen County Health Dept
- Allen County Schools
- Aalia Ameen
- Aura Recovery Center LLC
- Sarah Beckham
- Annace Cathy Bledsoe
- Boheme Holistic Clinical Services
- Bowling Green Warren County Community Hospital
- Bowling Green Warren County Community Hospital
All providers in Scottsville, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.