# DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
- **Other names:** Unbridled Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700696036
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 2317 REMINGTON WAY, LEXINGTON, KY 40511-9236
- **Practice address phone:** (859) 244-4210
- **Practice address fax:** (859) 244-4208
- **Mailing address:** 2317 REMINGTON WAY, LEXINGTON, KY 40511-9236
- **Mailing address phone:** (859) 244-4210
- **Mailing address fax:** (859) 244-4208

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 01/09/2025