Provider Demographics
NPI:1538287602
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 1:106 E PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-1439
Mailing Address - Country:US
Mailing Address - Phone:270-237-4747
Mailing Address - Fax:270-237-4949
Practice Address - Street 1:106 E PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-1439
Practice Address - Country:US
Practice Address - Phone:270-237-4747
Practice Address - Fax:270-237-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY69911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty