| Kentucky Center For Orthodontics, Psc | |
|
860 Corporate Dr Ste. 201 Lexington KY 40503-5425 | |
| (859) 223-3939 | |
| Not Available |
| Full Name | Kentucky Center For Orthodontics, Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 860 Corporate Dr, Lexington, Kentucky |
| Authorized Official Name and Position | John Huang (VP/SEC/TREAS) |
| Authorized Official Contact | 8592233939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Center For Orthodontics, Psc 860 Corporate Dr Ste. 201 Lexington KY 40503-5425 Ph: () - | Kentucky Center For Orthodontics, Psc 860 Corporate Dr Ste. 201 Lexington KY 40503-5425 Ph: (859) 223-3939 |
| NPI Number | 1972606051 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972606051 | NPI | - | NPPES |
| 60052388 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Kentucky) | Primary |
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