# ELVIDGE & LASHEEN, DMD,PSC

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

## Provider details

- **NPI number:** 1669510566
- **Authorized official:** DAVID A LASHEEN D.M.D. (PRESIDENT)
- **Authorized official phone:** (859) 873-5913

## Contact information

- **Practice address:** 360 AMSDEN AVE, SUITE 400, VERSAILLES, KY 40383-1851
- **Practice address phone:** (859) 873-5913
- **Practice address fax:** (879) 879-1027
- **Mailing address:** 360 AMSDEN AVE, SUITE 400, VERSAILLES, KY 40383-1851
- **Mailing address phone:** (859) 873-5913
- **Mailing address fax:** (879) 879-1027

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 821853 | UNITED CONCORDIA PROVIDER | KY |