Provider Demographics
NPI:1518721059
Name:DENTURES PLUS OF LONDON LLC
Entity Type:Organization
Organization Name:DENTURES PLUS OF LONDON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:606-878-0708
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0519
Mailing Address - Country:US
Mailing Address - Phone:606-878-0708
Mailing Address - Fax:606-878-0090
Practice Address - Street 1:128 LONDON SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-3015
Practice Address - Country:US
Practice Address - Phone:606-878-0708
Practice Address - Fax:606-878-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty