John Shea Lair, D.m.d., Pllc | |
603 Lancaster St Stanford KY 40484-1248 | |
(606) 365-7803 | |
(606) 365-1070 |
Full Name | John Shea Lair, D.m.d., Pllc |
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Speciality | Dentist - General Practice |
Location | 603 Lancaster St, Stanford, Kentucky |
Authorized Official Name and Position | John Shea Lair (DENTIST/OWNER) |
Authorized Official Contact | 6063657803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John Shea Lair, D.m.d., Pllc 603 Lancaster St Stanford KY 40484-1248 Ph: (606) 365-7803 | John Shea Lair, D.m.d., Pllc 603 Lancaster St Stanford KY 40484-1248 Ph: (606) 365-7803 |
NPI Number | 1821367756 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 12/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821367756 | NPI | - | NPPES |
60056876 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5687 (Kentucky) | Primary |