Kelley 'corky' Deaton III, DMD

General Practice Dentistry · Danville, KY

Individual Active NPI

NPI number 1851441802

Practice location

359 S 4TH St
Suite C
Danville, KY 40422-2078
Phone
(859) 236-5703
Fax
(859) 936-1916

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NPI record

NPI
1851441802
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
March 11, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5843 KY
Dentist 122300000X 5843 KY

About Dr. Deaton

Kelley 'corky' Deaton III, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 359 S 4TH St, Suite C, Danville, KY 40422-2078. The NPI number 1851441802 was assigned on January 11, 2007 and the record was last updated on March 11, 2015.

Dr. Deaton lists 2 licenses in the registry: #5843 (KY) for General Practice Dentistry; #5843 (KY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelley 'corky' Deaton III, DMD?

The NPI number is 1851441802.

What is the phone number of Dr. Deaton?

The phone number listed for the practice location is (859) 236-5703.

Where is Dr. Deaton located?

359 S 4TH St, Suite C, Danville, KY 40422-2078.

What is the taxonomy code for Dr. Deaton?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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