| Family Dynamics Llc | |
|
1183 Stanford Rd. Lancaster KY 40444-9567 | |
| (859) 792-4236 | |
| (859) 792-6033 |
| Full Name | Family Dynamics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1183 Stanford Rd., Lancaster, Kentucky |
| Authorized Official Name and Position | Felix J Johnson (PARTNER) |
| Authorized Official Contact | 8597924236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dynamics Llc 1183 Stanford Road Lancaster KY 40444 Ph: (859) 792-4236 | Family Dynamics Llc 1183 Stanford Rd. Lancaster KY 40444-9567 Ph: (859) 792-4236 |
| NPI Number | 1558564385 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558564385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4601 (Kentucky) | Primary |