| Park Hills Family Dentistry Inc | |
|
3140 Pimlico Pkwy Ste 105 Lexington KY 40517-4007 | |
| (859) 273-5020 | |
| Not Available |
| Full Name | Park Hills Family Dentistry Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3140 Pimlico Pkwy Ste 105, Lexington, Kentucky |
| Authorized Official Name and Position | Glenn Sutherland (PRESIDENT) |
| Authorized Official Contact | 8592735020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Hills Family Dentistry Inc 3140 Pimlico Pkwy Ste 105 Lexington KY 40517-4007 Ph: () - | Park Hills Family Dentistry Inc 3140 Pimlico Pkwy Ste 105 Lexington KY 40517-4007 Ph: (859) 273-5020 |
| NPI Number | 1336320415 |
|---|---|
| Provider Enumeration Date | 11/17/2007 |
| Last Update Date | 11/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336320415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5455 (Kentucky) | Primary |
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