Provider Demographics
NPI:1447735725
Name:CANDACE MOORE FLENER DMD LLC
Entity Type:Organization
Organization Name:CANDACE MOORE FLENER DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:FLENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-621-9195
Mailing Address - Street 1:865 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MUNFORDVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42765-9203
Mailing Address - Country:US
Mailing Address - Phone:270-524-5580
Mailing Address - Fax:
Practice Address - Street 1:865 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MUNFORDVILLE
Practice Address - State:KY
Practice Address - Zip Code:42765-9203
Practice Address - Country:US
Practice Address - Phone:270-524-5580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental