Organization
FAYETTE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY THURMOND D.M.D. (PRESIDENT)
(859) 516-2081
Entity
Organization
Contact information
Practice address
80 CODELL DR, STE 140, LEXINGTON, KY 40509-1179
(859) 516-2081
Mailing address
80 CODELL DR, STE 140, LEXINGTON, KY 40509-1179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8452
KY
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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