| Tates Creek Dental, Psc | |
|
4071 Tates Creek Centre Dr Ste 210 Lexington KY 40517-3094 | |
| (859) 273-3139 | |
| Not Available |
| Full Name | Tates Creek Dental, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4071 Tates Creek Centre Dr Ste 210, Lexington, Kentucky |
| Authorized Official Name and Position | Jeffrey King (DENTIST) |
| Authorized Official Contact | 8592733139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tates Creek Dental, Psc 4071 Tates Creek Centre Dr Ste 210 Lexington KY 40517-3094 Ph: (859) 273-3139 | Tates Creek Dental, Psc 4071 Tates Creek Centre Dr Ste 210 Lexington KY 40517-3094 Ph: (859) 273-3139 |
| NPI Number | 1225530660 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225530660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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