Organization · NPI-2

Cumberland Dental LLC

Dentist, General Practice · Somerset, KY

NPI number1740314608
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740314608
Entity type
Organization (NPI-2)
Legal business name
Cumberland Dental LLC
Organization subpart
No
Enumeration date
Mar 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

54 Imaging Dr
Somerset, KY 42503

Phone 606-451-2273

Mailing address

54 Imaging Dr
Somerset, KY 42503

Authorized official

Annelee Jayme
Owner
6064512273

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