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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHOCTAW BRODIE BADGETT, DMD

Active Sole Proprietor

CHOCTAW BRODIE BADGETT, DMD is a Dentist healthcare provider located in LEWISPORT, Kentucky. NPI 1720204969 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEWISPORT, KY

Registration Details

NPI Number
1720204969
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2007 (19.151457772576 yrs)
Last Updated
Jul 9, 2007
License
KY. 4697 (KY)
Sole Proprietor
Yes

Practice Information

Address
8340 U.S. 60 WEST
LEWISPORT, KY, 42351
Browse KY providers · Browse ZIP 42351
Phone
2709261229
Fax
2702953716
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.