| Beaumont Dental Associates, Pllc | |
|
3181 Beaumont Centre Cir Suite 114 Lexington KY 40513-1836 | |
| (859) 223-0011 | |
| Not Available |
| Full Name | Beaumont Dental Associates, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3181 Beaumont Centre Cir, Lexington, Kentucky |
| Authorized Official Name and Position | Christina H Park (OWNER/TREASURER AND SECRETARY) |
| Authorized Official Contact | 8592230011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Dental Associates, Pllc 3181 Beaumont Centre Cir Suite 114 Lexington KY 40513-1836 Ph: (859) 223-0011 | Beaumont Dental Associates, Pllc 3181 Beaumont Centre Cir Suite 114 Lexington KY 40513-1836 Ph: (859) 223-0011 |
| NPI Number | 1609140862 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609140862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8193 (Kentucky) | Primary |
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