# JOHN SHEA LAIR, D.M.D., PLLC

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

## Provider details

- **NPI number:** 1821367756
- **Authorized official:** DR. JOHN SHEA LAIR DMD (DENTIST/OWNER)
- **Authorized official phone:** (606) 365-7803

## Contact information

- **Practice address:** 603 LANCASTER ST, STANFORD, KY 40484-1248
- **Practice address phone:** (606) 365-7803
- **Practice address fax:** (606) 365-1070
- **Mailing address:** 603 LANCASTER ST, STANFORD, KY 40484-1248
- **Mailing address phone:** (606) 365-7803
- **Mailing address fax:** (606) 365-1070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5687 | KY | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 12/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60056876 | — | KY |