Organization
AMS DENTAL
Active
Parent organization
AMS DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMS DENTAL
Authorized official
AL-HARITH SHALASH DMD (OWNER)
(859) 253-0711
Entity
Organization
Contact information
Practice address
624 N BROADWAY, LEXINGTON, KY 40508-1436
(859) 253-0711
(859) 254-0990
Mailing address
624 N BROADWAY, LEXINGTON, KY 40508-1436
(859) 253-0711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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