C Michael Brinker, DMD PSC
Oral & Maxillofacial Surgery in Florence, KY. Individual provider (NPI-1).
NPI number1427145366
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1427145366
- Entity type
- Individual (NPI-1)
- Name
- Mr. C Michael Brinker
- Credential
- DMD PSC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 4315 | KY | Yes |
Practice location
8172 Mall RoadSuite 214
Florence, KY 41042
Phone 859-525-2257 · Fax 859-282-4372
Mailing address
8172 Mall RoadSuite 214
Florence, KY 41042
Phone 859-525-2257 · Fax 859-282-4372
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