Pat Disponett Dmd is a Dental Clinic in Bardstown, Kentucky. It is located at 919 Chambers Blvd, Suite A, Bardstown, KY and its contact number is 502-348-6404. The authorized person for Pat Disponett Dmd is Dr. Joshua Dolphus Blackmon
who is Member / Partner of the clinic and their contact number is 502-348-6404. The primary license number for Pat Disponett Dmd is 6805 (General Practice) in Kentucky. Pat Disponett Dmd Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Pat Disponett Dmd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pat Disponett Dmd
Specialization:
General Practice Dentistry
Clinic Address:
919 Chambers Blvd, Suite A, Bardstown, Kentucky, 40004-2573
Phone:
502-348-6404
Fax:
502-348-6342
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Joshua Dolphus Blackmon
Position:
Member / Partner
Contact Number:
502-348-6404
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pat Disponett Dmd clinic are as mentioned below.
NPI Number:
1437297348
NPI Enumeration Date:
02 Feb, 2007
NPI Last Update On:
24 Oct, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pat Disponett Dmd are as mentioned below.
Specialization
License Number
State
Status
General Practice
6805
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6238
Other
Kentucky
Passport
61943601
Medicaid
Kentucky
267366
Other
Kentucky
United Concordia Provider
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pat Disponett Dmd 919 Chambers Blvd, Bardstown, Kentucky
Zip:
40004
Phone Number:
502-348-6404
Fax Number:
502-348-6342
Patients can reach Pat Disponett Dmd at 919 Chambers Blvd, Suite A, Bardstown, Kentucky or can call to book an appointment on 502-348-6404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.