# COMMONWEALTH DENTAL GROUP

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

## Provider details

- **NPI number:** 1679179501
- **Authorized official:** JAMES GREGORY WHITE DMD (CEO)
- **Authorized official phone:** (859) 533-1109

## Contact information

- **Practice address:** 426 LEXINGTON RD STE 150, VERSAILLES, KY 40383-1870
- **Practice address phone:** (859) 873-4451
- **Mailing address:** 105 SPRUCE ST, LEXINGTON, KY 40507-2109
- **Mailing address phone:** (859) 533-1109

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2020
- **Last updated:** 12/07/2020