Akdm, LLC

Organization Active NPI General Practice Dentistry · Owensboro, KY

NPI 1508090358 · NPPES record last updated May 7, 2009

Key facts

NPI
1508090358
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
AKDM, LLC
Practice address
5035 Frederica St
Owensboro, KY 42301-7515
Phone
(270) 686-1636
NPI assigned
May 7, 2009
Organization subpart
No

Authorized official

Name
Mr. Bob Fontana
Title
Ceo
Phone
(315) 454-6000

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

5035 Frederica St
Owensboro, KY 42301-7515

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000

Other providers in Owensboro, KY

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

Sources for this page

Verify at the official NPI Registry.