# UNIVERSITY OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UK College of Dentistry - Kentucky Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730225129
- **Authorized official:** CRAIG COLLINS (SR VP HEALTH AFFAIRS / CFO)
- **Authorized official phone:** (859) 257-1773

## Contact information

- **Practice address:** 740 S LIMESTONE ST, LEXINGTON, KY 40536-0284
- **Practice address phone:** (859) 257-3462
- **Practice address fax:** (859) 323-0066
- **Mailing address:** PO BOX 931240, CLEVELAND, OH 44193-0004
- **Mailing address phone:** (859) 323-1345
- **Mailing address fax:** (859) 257-5859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | — |
| 1223X2210X | Orofacial Pain Dentistry | — | — | — |
| 125Q00000X | Oral Medicine Dentistry | — | NULL | — |
| 125Q00000X | Oral Medicine Dentistry | — | — | — |
| 225100000X | Physical Therapist | PT006370 | KY | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 02/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 61942801 | — | KY |