| Commonwealth Dental Group | |
|
426 Lexington Rd Ste 150 Versailles KY 40383-1870 | |
| (859) 873-4451 | |
| Not Available |
| Full Name | Commonwealth Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 426 Lexington Rd Ste 150, Versailles, Kentucky |
| Authorized Official Name and Position | James Gregory White (CEO) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dental Group 105 Spruce St Lexington KY 40507-2109 Ph: (859) 533-1109 | Commonwealth Dental Group 426 Lexington Rd Ste 150 Versailles KY 40383-1870 Ph: (859) 873-4451 |
| NPI Number | 1679179501 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679179501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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