BOURBON FAMILY DENTISTRY (NPI# 1396801395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396801395 |
| Entity Type | Organization |
| Organization Name | BOURBON FAMILY DENTISTRY |
| Practice Address |
4223 A Lexington Rd Paris KY 40361 |
| Practice Telephone | 8599880308 |
| Practice Fax Number | 8599880310 |
| Mailing Telephone | 8599880308 |
| Mailing Fax Number | 8599880310 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARION SUSANNE KOLLAHSADEH (DENTIST OWNER) |
| Authorized Official Telephone | 8599880308 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7770KY | KY | Dental Providers |
| Street Address |
4223 A LEXINGTON RD |
| City | PARIS |
| State | KY |
| Zip Code | 40361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
| 1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
| 1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
| 1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
| 1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
| 1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
| 1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
| 1093829822 | Nathan L Moore | Family Medicine | 22 Clinic Drive, Paris, KY 40361 | 2006-08-18 |
| Find all providers in zip 40361 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190296 | Paris Dentistry Pllc | Dentist | 3844 Lamar Avenue, Paris, TX 75462 | 2015-12-18 |
| 1942604871 | Jeffrey L Fletcher | Dentist | 219 N Poplar Street, Paris, TN 38242-0219 | 2014-10-21 |
| 1841407954 | Janet Jill Mcdonald | Dentist | 60 Fairgrounds Rd # A, Paris, TN 38242-5648 | 2007-05-17 |
| 1225244114 | Garry L. Grimes | Dentist | 850 Ogburn St, Paris, TN 38242-4803 | 2007-05-15 |
| 1437361607 | Charley Neal Beard | Dentist | 409 N. Poplar St., Paris, TN 38242-3435 | 2007-05-03 |
| 1306060181 | James E. Spencer | Dentist | 2900 Pine Mill Rd, Paris, TX 75460-3448 | 2007-04-12 |
| 1407977283 | Bart C Mcfarland | Dentist | 2020 Alverson Dr, Paris, KY 40361-2205 | 2007-04-02 |
| 1003934746 | Elwyn Lee Crawford | Dentist | 2920 Pine Mill Rd, Paris, TX 75460-3448 | 2007-03-27 |
| 1053444778 | Henry Wesley Griffin | Dentist | 1349 Lamar Avenue, Paris, TX 75460 | 2007-03-13 |
| 1275678427 | Sunny M Thacker | Dentist | 4223 Lexington Rd Ste A, Paris, KY 40361-2514 | 2007-02-21 |
| Find all providers in PARIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.