Provider Demographics
NPI:1275709461
Name:SCOTTSVILLE DENTAL CENTER, PSC
Entity Type:Organization
Organization Name:SCOTTSVILLE DENTAL CENTER, PSC
Other - Org Name:FRANK L. DUNCAN, DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:270-237-4747
Mailing Address - Street 1:1212 ASHLEY CIR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5821
Mailing Address - Country:US
Mailing Address - Phone:270-901-0497
Mailing Address - Fax:270-901-0496
Practice Address - Street 1:1212 ASHLEY CIR
Practice Address - Street 2:SUITE 4
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5821
Practice Address - Country:US
Practice Address - Phone:270-901-0497
Practice Address - Fax:270-901-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6991261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental