| Lexington Dental Center Pllc | |
|
3138 Custer Drive 200 Lexington KY 40517-4064 | |
| (859) 273-4141 | |
| (859) 273-4866 |
| Full Name | Lexington Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3138 Custer Drive, Lexington, Kentucky |
| Authorized Official Name and Position | Damon G Pleasant (DENTIST OWNER) |
| Authorized Official Contact | 8592734141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Dental Center Pllc 3138 Custer Drive 200 Lexington KY 40517-4064 Ph: (859) 273-4141 | Lexington Dental Center Pllc 3138 Custer Drive 200 Lexington KY 40517-4064 Ph: (859) 273-4141 |
| NPI Number | 1588755755 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588755755 | NPI | - | NPPES |
| 3780 | Other | KY | STATE BOARD LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3780 (Kentucky) | Primary |
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