Main Street Dental, LLC
Main Street Dental, LLC is a Dental Clinic/Center in Vine Grove, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.
- Licensed in
- KY
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 W Main StVine Grove, KY 40175-1304
Phone: (270) 877-2011
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence KY6807 (KY) |
|---|
Record details
| NPI number | 1588909642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Corkran — Gm/Owner · (270) 877-2011 |
| Other names | Main Street Dental, Llc |
| NPI enumerated | November 30, 2012 |
| Last updated in NPPES | February 12, 2014 |
| Mailing address | 201 W Main St, Vine Grove, KY 40175-1304 |