Individual
TOMMY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
540 EAST MAIN STREET, LEXINGTON, KY 40508
(859) 255-1710
(859) 253-0638
Mailing address
1241 TEDDS STATION, LEXINGTON, KY 40509
(859) 263-8881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6249
KY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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