NPI 1013160522

Ky Dental Professional, Psc

Organisation Dentist Lexington, KY

Practice location

Address: 1330 S Broadway, Lexington, KY 40504-2737
Phone: (859) 252-5220
Fax: (859) 252-0405

Authorised official

Name: Caron C Carbone
Title: Office Administrator
Phone: (859) 252-5220

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6944 (KY)

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Registry record

NPI: 1013160522
Entity type: Organization
NPI issued: 28 Oct 2008
Record last updated: 21 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.