William Preston Denton, DMD

Individual provider Active NPI General Practice Dentistry · Brandenburg, KY

NPI 1629068853 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629068853
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5601 (KY)
Practice address
1120 High St
Brandenburg, KY 40108-1514
Phone
(270) 422-4921
Fax
(270) 422-3550
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5601KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5601 KY Yes

Addresses

Primary practice location

1120 High St
Brandenburg, KY 40108-1514

Mailing address

1120 High St
Brandenburg, KY 40108-1514
Phone (270) 422-4921

Other identifiers

IdentifierTypeStateIssuer
60056017MedicaidKY

Other providers in Brandenburg, KY

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

Sources for this page

Verify at the official NPI Registry.