# WOOLUM AND DIXON FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1588725493
- **Authorized official:** HOLLIE LAMBERT (OFFICE MANAGER)
- **Authorized official phone:** (606) 337-3034

## Contact information

- **Practice address:** 121 W VIRGINIA AVE, PINEVILLE, KY 40977-1600
- **Practice address phone:** (606) 337-3034
- **Practice address fax:** (606) 337-5305
- **Mailing address:** 121 W VIRGINIA AVE, PINEVILLE, KY 40977-1600
- **Mailing address phone:** (606) 337-3034
- **Mailing address fax:** (606) 337-5305

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60048642 | — | KY |
| 05 | — | 60048733 | — | KY |