Community Care of Kentucky, Inc
Organization Active NPI General Practice Dentistry · Earlington, KY
NPI 1962880997 · NPPES record last updated Jan 15, 2016
Key facts
- NPI
- 1962880997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- COMMUNITY CARE OF KENTUCKY, INC
- Practice address
- 122 S Lee Trover Todd Jr Hwy
Earlington, KY 42410-1557 - Phone
- (270) 383-5511
- NPI assigned
- May 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Jenell Stump
- Title
- Manager, Licensing & Credentialing
- Phone
- (270) 383-5511
Corporate family (same tax ID) 6
Practitioners 1
-
Tammy Renee Sanders, DMD
National Provider Directory
- Tax ID family
- Community Care of Kentucky Inc
Locations
122 S Lee Trover Todd Hwy
Earlington, KY 42410
Phone (270) 383-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
122 S Lee Trover Todd Jr Hwy
Earlington, KY 42410-1557
Mailing address
PO Box 2369
Anniston, AL 36202-2369
Phone (256) 741-7340
Other providers in Earlington, KY
- Baptist Health Madisonville Inc
- Mike'S Pharmacy, LLC
- Regional Health Care Affiliates Inc
- Tammy Renee Sanders
- Kristina Anne Sifuentes
- Southside Pharmacy
All providers in Earlington, 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 Jan 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.