Most Relevant Information
Provider Data
| NPI Number: | 1003264888 |
| Provider Name: | VIRGINIA BROOKE FAULKNER DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 30.24774 |
Most Important Dates
| Enumeration Date: | 06/02/2016 |
| Last Updated: | 03/15/2021 |
Provider Practice Location
1401 MADISON AVE
COVINGTON
KY
410113313
Practice Location Phone/Fax
| Phone: | 8596556100 |
| Fax: | 8596556179 |
Provider Mailing Location
215 E 11TH ST
NEWPORT
KY
410712203
Provider Mailing Phone/Fax
| Phone: | 8596556100 |
| Fax: |