# WELLINGTON FAMILY DENTISTRY, PSC

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

## Provider details

- **NPI number:** 1740441013
- **Authorized official:** DR. SHAUNNA RAMSDALE JOHANNEMAN D.M.D (DENTIST)
- **Authorized official phone:** (859) 309-9765

## Contact information

- **Practice address:** 535 WELLINGTON WAY STE 130, LEXINGTON, KY 40503-1385
- **Practice address phone:** (859) 552-4810
- **Mailing address:** 535 WELLINGTON WAY STE 130, LEXINGTON, KY 40503-1387
- **Mailing address phone:** (859) 309-9765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8489 | KY | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 01/06/2010