| Nichols Park Dental Care | |
|
4097 Nichols Park Dr Suite 108 Lexington KY 40503-4428 | |
| (859) 971-9298 | |
| (859) 971-9603 |
| Full Name | Nichols Park Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 4097 Nichols Park Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Amy M Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichols Park Dental Care 4097 Nichols Park Dr Suite 108 Lexington KY 40503-4428 Ph: (859) 971-9298 | Nichols Park Dental Care 4097 Nichols Park Dr Suite 108 Lexington KY 40503-4428 Ph: (859) 971-9298 |
| NPI Number | 1063576031 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063576031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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