Provider Demographics
NPI:1962270975
Name:PEPPERHILL DENTAL CARE PLLC
Entity type:Organization
Organization Name:PEPPERHILL DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:TROSPER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:606-877-8700
Mailing Address - Street 1:PO BOX 1479
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743
Mailing Address - Country:US
Mailing Address - Phone:606-877-8700
Mailing Address - Fax:606-877-8701
Practice Address - Street 1:130 THOMPSON-POYNTER ROAD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741
Practice Address - Country:US
Practice Address - Phone:606-877-8700
Practice Address - Fax:606-877-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty