| Wellington Family Dentistry, Psc | |
|
535 Wellington Way Ste 130 Lexington KY 40503-1385 | |
| (859) 552-4810 | |
| Not Available |
| Full Name | Wellington Family Dentistry, Psc |
|---|---|
| Speciality | Dentist |
| Location | 535 Wellington Way Ste 130, Lexington, Kentucky |
| Authorized Official Name and Position | Shaunna Ramsdale Johanneman (DENTIST) |
| Authorized Official Contact | 8593099765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellington Family Dentistry, Psc 535 Wellington Way Ste 130 Lexington KY 40503-1387 Ph: (859) 309-9765 | Wellington Family Dentistry, Psc 535 Wellington Way Ste 130 Lexington KY 40503-1385 Ph: (859) 552-4810 |
| NPI Number | 1740441013 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740441013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8489 (Kentucky) | Primary |
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