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Organization
UNIVERSITY OF KENTUCKY
Active
Organization
UNIVERSITY OF KENTUCKY
Active
Other names
UK Oral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG COLLINS (SR VP HEALTH AFFAIRS / CFO)
(859) 257-1773
Entity
Organization
Contact information
Practice address
2195 HARRODSBURG RD STE 175, LEXINGTON, KY 40504-3504
(859) 257-9272
Mailing address
PO BOX 931240, CLEVELAND, OH 44193-0004
(859) 323-1345
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61942801
—
KY
05
—
7100307250
—
KY
05
—
7100374320
—
KY
Enumeration date
02/27/2007
Last updated
02/13/2024
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