# GENTLE CARE DENTISTRY

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

## Provider details

- **NPI number:** 1134448566
- **Authorized official:** JULIE LYNN SANDIFER CPC (CONSULTANT)
- **Authorized official phone:** (502) 319-3144

## Contact information

- **Practice address:** 2558 LARKIN RD, LEXINGTON, KY 40503-3205
- **Practice address phone:** (859) 277-1151
- **Mailing address:** 2558 LARKIN RD, LEXINGTON, KY 40503-3205
- **Mailing address phone:** (859) 277-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7403 | KY | Yes |
| 1223G0001X | General Practice Dentistry | 8809 | KY | — |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 05/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245460617 | — | KY |
| 05 | — | 1811911480 | — | KY |