Organization
TATES CREEK DENTAL, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KING DMD (DENTIST)
(859) 273-3139
Entity
Organization
Contact information
Practice address
4071 TATES CREEK CENTRE DR STE 210, LEXINGTON, KY 40517-3094
(859) 273-3139
Mailing address
4071 TATES CREEK CENTRE DR STE 210, LEXINGTON, KY 40517-3094
(859) 273-3139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/17/2018
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