Park Hills Dentistry | |
3122 Custer Dr Lexington KY 40517-4000 | |
(859) 273-5020 | |
(859) 245-2219 |
Full Name | Park Hills Dentistry |
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Speciality | Dentist |
Location | 3122 Custer Dr, Lexington, Kentucky |
Authorized Official Name and Position | Jinyoung Kim (OWNER) |
Authorized Official Contact | 8592735020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Hills Dentistry 3122 Custer Dr Lexington KY 40517-4000 Ph: (859) 273-5020 | Park Hills Dentistry 3122 Custer Dr Lexington KY 40517-4000 Ph: (859) 273-5020 |
NPI Number | 1306499082 |
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Provider Enumeration Date | 07/22/2019 |
Last Update Date | 01/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306499082 | NPI | - | NPPES |
7100482030 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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