# JESSAMINE FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WINCHESTER FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730605072
- **Authorized official:** BRITTANY FERRELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (859) 885-9577

## Contact information

- **Practice address:** 996 N MAIN ST, NICHOLASVILLE, KY 40356-2308
- **Practice address phone:** (859) 885-9577
- **Mailing address:** 996 N MAIN ST, NICHOLASVILLE, KY 40356-2308
- **Mailing address phone:** (859) 885-9577
- **Mailing address fax:** (859) 885-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | — |
| 1223D0001X | Public Health Dentistry | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2017
- **Last updated:** 04/26/2023