| Beaumont Family Dentistry At Leestown | |
|
100 Trade St Suite175 Lexington KY 40511-2634 | |
| (859) 368-8206 | |
| (859) 554-6150 |
| Full Name | Beaumont Family Dentistry At Leestown |
|---|---|
| Speciality | Dentist |
| Location | 100 Trade St, Lexington, Kentucky |
| Authorized Official Name and Position | Patricia E Takacs (DENTIST/OWNER) |
| Authorized Official Contact | 8592232120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Family Dentistry At Leestown 100 Trade St Suite175 Lexington KY 40511-2634 Ph: (859) 368-8206 | Beaumont Family Dentistry At Leestown 100 Trade St Suite175 Lexington KY 40511-2634 Ph: (859) 368-8206 |
| NPI Number | 1124364252 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124364252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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