| Dentistry For Children | |
|
216 Fountain Ct Suite#150 Lexington KY 40509-1888 | |
| (859) 543-2242 | |
| (859) 685-0115 |
| 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 216 Fountain Ct Suite#150 Lexington KY 40509-1888 Ph: (859) 543-2242 | Dentistry For Children 216 Fountain Ct Suite#150 Lexington KY 40509-1888 Ph: (859) 543-2242 |
| NPI Number | 1568567246 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568567246 | NPI | - | NPPES |
| 61901211 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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