| Dentistry For Children | |
|
216 Fountain Ct Suite#150 Lexington KY 40509-1888 | |
| (859) 543-2242 | |
| Not Available |
| Full Name | Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 216 Fountain Ct, Lexington, Kentucky |
| Authorized Official Name and Position | Lori A Koretski (OFFICE MANAGER) |
| Authorized Official Contact | 8595432242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children 1012 Ival James Blvd Suite C Richmond KY 40475-8174 Ph: (859) 626-9620 | Dentistry For Children 216 Fountain Ct Suite#150 Lexington KY 40509-1888 Ph: (859) 543-2242 |
| NPI Number | 1245374172 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245374172 | NPI | - | NPPES |
| 4500027000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4500027000 (Kentucky) | Primary |
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