Individual
JEFFREY R KOVARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9638
KY
1223G0001X
General Practice Dentistry
9638
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100361470
—
KY
Enumeration date
07/07/2015
Last updated
10/08/2025
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