Dr. Kelley 'corky' Deaton Iii is a Danville, Kentucky based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kelley 'corky' Deaton Iii is 5843 for General Practice Dentistry in Kentucky. His current practice location is 359 S 4th St, Suite C, Danville. Patients can reach him at 859-236-5703.
Dr. Kelley 'corky' Deaton Iii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kelley 'corky' Deaton Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kelley 'corky' Deaton Iii
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
359 S 4th St, Suite C, Danville, Kentucky, 40422-2078
Phone:
859-236-5703
Fax:
859-936-1916
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 are as mentioned below.
NPI Number:
1851441802
NPI Enumeration Date:
11 Jan, 2007
NPI Last Update On:
11 Mar, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelley 'corky' Deaton Iii are as mentioned below.
License Number
Specialization
State
Status
5843
General Practice Dentistry
Kentucky
Primary
5843
Dentistry
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kelley 'corky' Deaton Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
45601382
Other
Kentucky
EPSDT DENTAL ID
61-1180059
Other
Kentucky
TAX ID
60058435
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:
359 S 4th St, Suite C Danville, Kentucky
Zip:
40422-2078
Phone Number:
859-236-5703
Fax Number:
859-936-1916
Patients can reach Dr. Kelley 'corky' Deaton Iii at 359 S 4th St, Suite C, Danville, Kentucky or can call to book an appointment on 859-236-5703. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.