| Dfc Dre LLC | |
|
216 Fountain Ct Lexington KY 40509-2511 | |
| (859) 543-2242 | |
| Not Available |
| Full Name | Dfc Dre LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 216 Fountain Ct, Lexington, Kentucky |
| Authorized Official Name and Position | Elizabeth Davis (DIRECTOR REVENUE) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfc Dre LLC 105 Spruce St Lexington KY 40507-2109 Ph: (859) 533-1109 | Dfc Dre LLC 216 Fountain Ct Lexington KY 40509-2511 Ph: (859) 543-2242 |
| NPI Number | 1295508828 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295508828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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