# DENTAL CARE OF KENTUCKY, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL CARE OF KENTUCKY, P.S.C.
- **Other names:** South Farm Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982768974
- **Legal business name:** DENTAL CARE OF KENTUCKY, P.S.C.
- **Authorized official:** PAM HARDIEK (INS COOD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 4097 NICHOLS PARK DR, SUITE 112, LEXINGTON, KY 40503-4428
- **Practice address phone:** (859) 971-9238
- **Practice address fax:** (859) 971-9274
- **Mailing address:** 4097 NICHOLS PARK DR, SUITE 112, LEXINGTON, KY 40503-4428
- **Mailing address phone:** (859) 971-9238
- **Mailing address fax:** (859) 971-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/13/2010