# WILLIAM E SHORES JR PSC

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

## Provider details

- **NPI number:** 1134493893
- **Authorized official:** DR. WILLIAM E SHORES JR. D.M.D. (PRESIDENT)
- **Authorized official phone:** (859) 273-2224

## Contact information

- **Practice address:** 3122 CUSTER DR, STE B, LEXINGTON, KY 40517-4000
- **Practice address phone:** (859) 273-2224
- **Practice address fax:** (859) 273-3725
- **Mailing address:** 3122 CUSTER DR, STE B, LEXINGTON, KY 40517-4000
- **Mailing address phone:** (859) 273-2224
- **Mailing address fax:** (859) 273-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5707 | KY | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 02/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60057072 | — | KY |