South Farm Family Dentistry | |
4097 Nichols Park Dr Suite 112 Lexington KY 40503-4428 | |
(859) 971-9238 | |
(859) 971-9274 |
Full Name | South Farm Family Dentistry |
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Speciality | Dentist |
Location | 4097 Nichols Park Dr, Lexington, Kentucky |
Authorized Official Name and Position | Pam Hardiek (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Farm Family Dentistry 4097 Nichols Park Dr Suite 112 Lexington KY 40503-4428 Ph: (859) 971-9238 | South Farm Family Dentistry 4097 Nichols Park Dr Suite 112 Lexington KY 40503-4428 Ph: (859) 971-9238 |
NPI Number | 1982768974 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 12/13/2010 |
Identifier | Type | State | Issuer |
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1982768974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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