| Leestown Dental Center | |
|
1600 Leestown Rd Ste.138 Lexington KY 40511-2136 | |
| (859) 232-8883 | |
| (859) 258-2084 |
| Full Name | Leestown Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 Leestown Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Dickson Peter Ufomata (DOCTOR/OWNER) |
| Authorized Official Contact | 8592328883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leestown Dental Center 1600 Leestown Rd Ste.138 Lexington KY 40511-2136 Ph: (859) 232-8883 | Leestown Dental Center 1600 Leestown Rd Ste.138 Lexington KY 40511-2136 Ph: (859) 232-8883 |
| NPI Number | 1891067161 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891067161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7921 (Kentucky) | Primary |
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