| Veterans Park Family Dentistry Pllc | |
|
4384 Clearwater Way Ste 110 Lexington KY 40515-6337 | |
| (859) 272-0800 | |
| Not Available |
| Full Name | Veterans Park Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4384 Clearwater Way, Lexington, Kentucky |
| Authorized Official Name and Position | Nicole Fallahzadeh Jenkins (DENTIST) |
| Authorized Official Contact | 8592720800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Park Family Dentistry Pllc 4804 Brennen Dr Lexington KY 40515-6281 Ph: (859) 913-4472 | Veterans Park Family Dentistry Pllc 4384 Clearwater Way Ste 110 Lexington KY 40515-6337 Ph: (859) 272-0800 |
| NPI Number | 1992871644 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992871644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7878 (Kentucky) | Primary |
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