Psc A Sub S Corporation is a Dental Clinic in Irvine, Kentucky. It is located at 87 Wildwood Place, Irvine, KY and its contact number is 606-723-3213. The authorized person for Psc A Sub S Corporation is Dr. Jimmie Lee Johnson
who is Dentist of the clinic and their contact number is 606-723-3213. The primary license number for Psc A Sub S Corporation is 6163 (General Practice) in Kentucky. Psc A Sub S Corporation 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:
Psc A Sub S Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Psc A Sub S Corporation
Specialization:
General Practice Dentistry
Clinic Address:
87 Wildwood Place, Irvine, Kentucky, 40336-1312
Phone:
606-723-3213
Fax:
606-723-3213
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. Jimmie Lee Johnson
Position:
Dentist
Contact Number:
606-723-3213
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 Psc A Sub S Corporation clinic are as mentioned below.
NPI Number:
1578605978
NPI Enumeration Date:
13 Feb, 2007
NPI Last Update On:
25 Mar, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Psc A Sub S Corporation are as mentioned below.
Specialization
License Number
State
Status
General Practice
6163
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
60061637
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Psc A Sub S Corporation Po Box 175, 87 Wildwood Place Irvine, Kentucky
Zip:
40336-1312
Phone Number:
606-723-3213
Fax Number:
606-723-3213
Patients can reach Psc A Sub S Corporation at 87 Wildwood Place, Irvine, Kentucky or can call to book an appointment on 606-723-3213. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.