# VETERANS PARK FAMILY DENTISTRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** nicole f. jenkins dmd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992871644
- **Authorized official:** DR. NICOLE FALLAHZADEH JENKINS DMD (DENTIST)
- **Authorized official phone:** (859) 272-0800

## Contact information

- **Practice address:** 4384 CLEARWATER WAY, STE 110, LEXINGTON, KY 40515-6337
- **Practice address phone:** (859) 272-0800
- **Mailing address:** 4804 BRENNEN DR, LEXINGTON, KY 40515-6281
- **Mailing address phone:** (859) 913-4472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7878 | KY | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020