| Boyd Thornton Dre Llc | |
|
1093 Duval St Lexington KY 40515-6283 | |
| (859) 245-7127 | |
| Not Available |
| Full Name | Boyd Thornton Dre Llc |
|---|---|
| Speciality | Dentist |
| Location | 1093 Duval St, Lexington, Kentucky |
| Authorized Official Name and Position | Gregory White (CEO) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyd Thornton Dre Llc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Boyd Thornton Dre Llc 1093 Duval St Lexington KY 40515-6283 Ph: (859) 245-7127 |
| NPI Number | 1811619950 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811619950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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