Mcgeorge, Tina

Mcgeorge, Tina is an individual health care provider with primary practice located at 828 South Main Street , London KY 40741. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mcgeorge, Tina can be contacted via phone (606) 878-7251.

Contact Information

Primary practice address
828 South Main Street London KY 40741
Phone: (606) 878-7251
Fax: (606) 878-1285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6972 Kentucky
Dental Providers / General Practice 1223G0001X 6972 Kentucky

Profile Details

NPI number 1992835664
LBN Legal business name Mcgeorge, Tina
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Feb 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992835664 NPPES
Kentucky MEDICAID 60069721

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