# HENDRICKS FAMILY & COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Don Michael Hendricks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497029201
- **Authorized official:** DR. DON MICHAEL HENDRICKS DMD (DENTIST/OWNER)
- **Authorized official phone:** (859) 368-8618

## Contact information

- **Practice address:** 1025 DOVE RUN RD, SUITE 208, LEXINGTON, KY 40502-3588
- **Practice address phone:** (859) 368-8618
- **Practice address fax:** (859) 368-8648
- **Mailing address:** 1025 DOVE RUN RD, SUITE 208, LEXINGTON, KY 40502-3588
- **Mailing address phone:** (859) 368-8618
- **Mailing address fax:** (859) 368-8648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8624 | KY | Yes |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 02/27/2012