Provider Demographics
NPI:1306172374
Name:FLENER, CANDACE RENEE (DMD)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:RENEE
Last Name:FLENER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CANDEE
Other - Middle Name:
Other - Last Name:FLENER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:865 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MUNFORDVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42765-9203
Mailing Address - Country:US
Mailing Address - Phone:270-524-5580
Mailing Address - Fax:
Practice Address - Street 1:865 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MUNFORDVILLE
Practice Address - State:KY
Practice Address - Zip Code:42765-9203
Practice Address - Country:US
Practice Address - Phone:270-524-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY69051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice