# DIAMOND DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043616188
- **Authorized official:** DR. WILLIAM J DIAMOND DMD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (859) 278-0085

## Contact information

- **Practice address:** 1640 NICHOLASVILLE RD, SUITE 103, LEXINGTON, KY 40503-1415
- **Practice address phone:** (859) 278-0085
- **Mailing address:** 1640 NICHOLASVILLE RD, SUITE 103, LEXINGTON, KY 40503-1415
- **Mailing address phone:** (859) 278-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8832 | KY | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 11/18/2014