| Masterson Dentistry | |
|
1500 Leestown Rd Suite #100 Lexington KY 40511-2044 | |
| (859) 243-0332 | |
| Not Available |
| Full Name | Masterson Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1500 Leestown Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Xia Y Fehr (OWNER) |
| Authorized Official Contact | 8592430332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masterson Dentistry 1500 Leestown Rd Suite #100 Lexington KY 40511-2044 Ph: (859) 243-0332 | Masterson Dentistry 1500 Leestown Rd Suite #100 Lexington KY 40511-2044 Ph: (859) 243-0332 |
| NPI Number | 1063780120 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063780120 | NPI | - | NPPES |
| 60000957 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7620 (Kentucky) | Primary |
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