Provider Demographics
NPI:1609905900
Name:FRENCH, DARRELL RAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:RAY
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 553
Mailing Address - Street 2:825 US HIGHWAY 60
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-0553
Mailing Address - Country:US
Mailing Address - Phone:270-389-0812
Mailing Address - Fax:270-389-0812
Practice Address - Street 1:825 US HIGHWAY 60 E
Practice Address - Street 2:
Practice Address - City:MORGANFIELD
Practice Address - State:KY
Practice Address - Zip Code:42437-6602
Practice Address - Country:US
Practice Address - Phone:270-389-0812
Practice Address - Fax:270-389-0812
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY57131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice