Organization
DENTAL CARE OF KENTUCKY - DR O.CRAIG SHANTEAU, DDS, PSC
Active
Other names
Nichols Park Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
4097 NICHOLS PARK DR, SUITE 108, LEXINGTON, KY 40503-4428
(859) 971-9298
(859) 971-9603
Mailing address
4097 NICHOLS PARK DR, SUITE 108, LEXINGTON, KY 40503-4428
(859) 971-9298
(859) 971-9603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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