Specialized Dental Care Pllc | |
216 Fountain Ct Suite 150 Lexington KY 40509-1888 | |
(859) 967-4492 | |
Not Available |
Full Name | Specialized Dental Care Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 216 Fountain Ct, Lexington, Kentucky |
Authorized Official Name and Position | Richard Hank Salyer (OWNER) |
Authorized Official Contact | 8599674492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Specialized Dental Care Pllc 216 Fountain Court Suite 150 Lexington KY 40509 Ph: (859) 967-4492 | Specialized Dental Care Pllc 216 Fountain Ct Suite 150 Lexington KY 40509-1888 Ph: (859) 967-4492 |
NPI Number | 1083800619 |
---|---|
Provider Enumeration Date | 09/18/2007 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083800619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 7126 (Kentucky) | Primary |
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