| John Shea Lair, D.m.d., Pllc | |
|
603 Lancaster St Stanford KY 40484-1248 | |
| (606) 365-7803 | |
| (606) 365-1070 |
| Full Name | John Shea Lair, D.m.d., Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 603 Lancaster St, Stanford, Kentucky |
| Authorized Official Name and Position | John Shea Lair (DENTIST/OWNER) |
| Authorized Official Contact | 6063657803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Shea Lair, D.m.d., Pllc 603 Lancaster St Stanford KY 40484-1248 Ph: (606) 365-7803 | John Shea Lair, D.m.d., Pllc 603 Lancaster St Stanford KY 40484-1248 Ph: (606) 365-7803 |
| NPI Number | 1821367756 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821367756 | NPI | - | NPPES |
| 60056876 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5687 (Kentucky) | Primary |