Provider Demographics
NPI:1689023087
Name:EMBRACE DENTAL CARE
Entity Type:Organization
Organization Name:EMBRACE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADERINTO
Authorized Official - Middle Name:T
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-371-4000
Mailing Address - Street 1:8544 US HIGHWAY 42
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8544 US HIGHWAY 42
Practice Address - Street 2:SUITE 500
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9813
Practice Address - Country:US
Practice Address - Phone:859-371-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty