Forever Smiles

Organization Active NPI General Practice Dentistry · Allen, KY

NPI 1083988596 · NPPES record last updated Jul 18, 2015

Key facts

NPI
1083988596
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
6977 (KY)
Legal business name
FOREVER SMILES
Practice address
6363 Kentucky Route 1428
Allen, KY 41601
Phone
(606) 949-6971
Fax
(606) 949-6986
NPI assigned
Mar 1, 2012
Organization subpart
No

Authorized official

Name
Jeffery Dye
Title
President
Phone
(606) 949-6971

National Provider Directory

Locations

6363 Ky Route 1428
Allen, KY 41601
Phone (606) 874-2800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 6977 KY Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 7084 KY

Addresses

Primary practice location

6363 Kentucky Route 1428
Allen, KY 41601

Mailing address

PO Box 308
6363 Kentucky Route 1428
Allen, KY 41601
Phone (606) 949-6971

Other identifiers

IdentifierTypeStateIssuer
60069770MedicaidKY

Other providers in Allen, KY

All providers in Allen, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.