Kentucky Dental Anesthesia Services
Kentucky Dental Anesthesia Services is an Anesthesiology Physician in Berea, Kentucky. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
1006 Ace DrBerea, KY 40403-1327
Phone: (859) 420-9187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X |
|---|---|
| Pediatric Anesthesiology Physician | Taxonomy 207LP3000X |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X |
Record details
| NPI number | 1013696723 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Jacobson — Member · (859) 420-9187 |
| Other names | Kentucky Dental Anesthesia Services; Kentucky Dental Anesthesia Services |
| NPI enumerated | July 12, 2023 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
| Mailing address | 1006 Ace Dr, Berea, KY 40403-1327 |