| Bctc Dental Hygiene Clinic | |
|
470 Cooper Drive 250 Oswald Building Lexington KY 40506 | |
| (859) 246-6857 | |
| (859) 246-4667 |
| Full Name | Bctc Dental Hygiene Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 470 Cooper Drive, Lexington, Kentucky |
| Authorized Official Name and Position | M Carolyn Wilson (CLINIC DENTIST COVERING FOR A DENTA) |
| Authorized Official Contact | 8592466857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bctc Dental Hygiene Clinic 470 Cooper Drive 250 Oswald Building Lexington KY 40506 Ph: (859) 246-6857 | Bctc Dental Hygiene Clinic 470 Cooper Drive 250 Oswald Building Lexington KY 40506 Ph: (859) 246-6857 |
| NPI Number | 1376754655 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376754655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6562 (Kentucky) | Primary |
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