Bohle Family Dentistry, Psc

LBN: Bohle Family Dentistry, Psc
Bohle Family Dentistry, Psc is an health care organization with primary practice located at 1836 Broadway St , Paducah KY 42001-2708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bohle Family Dentistry, Psc can be contacted via phone (270) 442-0256, or through Bohle, Charles J via phone (270) 442-0256.

Contact Information

Primary practice address
1836 Broadway St Paducah KY 42001-2708
Phone: (270) 442-0256
Fax: (270) 442-8730
Website:
Map and Directions
Authorized official contact:
Name: Bohle, Charles J Doctor of Dental Medicine (DMD)
Phone: (270) 442-0256

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1003135534
LBN Legal business name Bohle Family Dentistry, Psc
DBA Doing business as
Authorized official Bohle, Charles J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2010
Last updated May 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003135534 NPPES
Kentucky MEDICAID 60056371

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