Organization
WILLIAM E SHORES JR PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E SHORES JR. D.M.D. (PRESIDENT)
(859) 273-2224
Entity
Organization
Contact information
Practice address
3122 CUSTER DR, STE B, LEXINGTON, KY 40517-4000
(859) 273-2224
(859) 273-3725
Mailing address
3122 CUSTER DR, STE B, LEXINGTON, KY 40517-4000
(859) 273-2224
(859) 273-3725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60057072
—
KY
Enumeration date
02/28/2012
Last updated
02/28/2012
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