# DENTAL CARE OF KENTUCKY - DR O.CRAIG SHANTEAU, DDS, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nichols Park Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063576031
- **Authorized official:** AMY M KROEGER (INS COOD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 4097 NICHOLS PARK DR, SUITE 108, LEXINGTON, KY 40503-4428
- **Practice address phone:** (859) 971-9298
- **Practice address fax:** (859) 971-9603
- **Mailing address:** 4097 NICHOLS PARK DR, SUITE 108, LEXINGTON, KY 40503-4428
- **Mailing address phone:** (859) 971-9298
- **Mailing address fax:** (859) 971-9603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020