Organization · NPI-2

Cumbdent, Psc

Dentist, General Practice · Somerset, KY

NPI number1154594901
StatusActive
Last updated in NPPESApr 22, 2015

Details

NPI
1154594901
Entity type
Organization (NPI-2)
Legal business name
Cumbdent, Psc
Organization subpart
No
Enumeration date
Apr 11, 2008
Last updated
Apr 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7411KYYes
122300000X Dentist7471KY
1223G0001X Dentist, General Practice3301KY

Other names

  • Cumberland Dental (Doing Business As)

Practice location

54 Imaging Drive
Somerset, KY 42503

Phone 606-451-2273 · Fax 606-451-9322

Mailing address

54 Imaging Drive
Somerset, KY 42503

Phone 606-451-2273 · Fax 606-451-9322

Authorized official

Annelee Jayme
Owner
8592274605

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