| Elvidge & Lasheen, Dmd,psc | |
|
360 Amsden Ave Suite 400 Versailles KY 40383-1851 | |
| (859) 873-5913 | |
| (879) 879-1027 |
| Full Name | Elvidge & Lasheen, Dmd,psc |
|---|---|
| Speciality | Dentist |
| Location | 360 Amsden Ave, Versailles, Kentucky |
| Authorized Official Name and Position | David A Lasheen (PRESIDENT) |
| Authorized Official Contact | 8598735913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elvidge & Lasheen, Dmd,psc 360 Amsden Ave Suite 400 Versailles KY 40383-1851 Ph: (859) 873-5913 | Elvidge & Lasheen, Dmd,psc 360 Amsden Ave Suite 400 Versailles KY 40383-1851 Ph: (859) 873-5913 |
| NPI Number | 1669510566 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669510566 | NPI | - | NPPES |
| 821853 | Other | KY | UNITED CONCORDIA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Kentucky) | Primary |
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