| Candid Kentucky, Pllc | |
|
710 E Main St Lexington KY 40502-1668 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Candid Kentucky, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 710 E Main St, Lexington, Kentucky |
| Authorized Official Name and Position | Thomas Shannon (DDS) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Kentucky, Pllc 710 E Main St Lexington KY 40502-1668 Ph: (860) 481-7631 | Candid Kentucky, Pllc 710 E Main St Lexington KY 40502-1668 Ph: (860) 481-7631 |
| NPI Number | 1346857448 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346857448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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