Individual
SUNNY M THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4223 LEXINGTON RD STE A, PARIS, KY 40361-2514
(859) 988-0308
(859) 988-0310
Mailing address
2292 SPURR RD, LEXINGTON, KY 40511-9124
(606) 422-1208
(859) 988-0310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8451
KY
Other
Enumeration date
02/21/2007
Last updated
02/09/2009
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