Perimeter Periodontics Pllc | |
620 Perimeter Dr Ste 103 Lexington KY 40517-4125 | |
(859) 268-1596 | |
(859) 977-7376 |
Full Name | Perimeter Periodontics Pllc |
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Speciality | Dentist - Periodontics |
Location | 620 Perimeter Dr, Lexington, Kentucky |
Authorized Official Name and Position | Justin C. Clemens (OWNER/DENTIST) |
Authorized Official Contact | 8592681596 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Perimeter Periodontics Pllc 620 Perimeter Dr Ste 103 Lexington KY 40517-4125 Ph: (859) 268-1596 | Perimeter Periodontics Pllc 620 Perimeter Dr Ste 103 Lexington KY 40517-4125 Ph: (859) 268-1596 |
NPI Number | 1124327200 |
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Provider Enumeration Date | 03/15/2011 |
Last Update Date | 04/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124327200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 8167 (Kentucky) | Primary |
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