Organization
GENTLE CARE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LYNN SANDIFER CPC (CONSULTANT)
(502) 319-3144
Entity
Organization
Contact information
Practice address
2558 LARKIN RD, LEXINGTON, KY 40503-3205
(859) 277-1151
Mailing address
2558 LARKIN RD, LEXINGTON, KY 40503-3205
(859) 277-1151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7403
KY
1223G0001X
General Practice Dentistry
8809
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245460617
—
KY
05
—
1811911480
—
KY
Enumeration date
05/25/2010
Last updated
05/25/2010
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