Big Sandy Dental Center PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BIG SANDY DENTAL CENTER PSC

Practice address

180 Town Mountain Rd Ste 111
Pikeville, KY 41501-1607

Phone

(606) 509-8633

Fax

(606) 509-8634

NPI assigned

Dec 20, 2012

Last updated

Dec 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd A. Ratliff, DMD

Title

President

Phone

(606) 509-8633

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1235475112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TOWN MOUNTAIN RD STE 111",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011607",
            "telephone_number": "606-509-8633",
            "fax_number": "606-509-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TOWN MOUNTAIN RD STE 111",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011607",
            "telephone_number": "606-509-8633",
            "fax_number": "606-509-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY DENTAL CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-509-8633",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.