| Organization Name: | MT VERNON PARTIALS AND DENTURES |
| NPI Number: | 1386803401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE DOWNEY (OWNER/ MANAGER) |
| Mailing Address: | 571 Richmond Street Mt Vernon |
| State: | KY US |
| Postal Code: | 40456 |
| Phone Number: | 6062563026 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |