Individual
DR. DICKSON PETER UFOMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 LEESTOWN ROAD, STE. 138, LEXINGTON, KY 40514
(859) 232-8883
(859) 258-2084
Mailing address
1600 LEESTOWN ROAD, STE. 138, LEXINGTON, KY 40514
(859) 232-8883
(859) 258-2084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7921
KY
1223G0001X
General Practice Dentistry
Primary
7921
KY
Other
Enumeration date
07/09/2008
Last updated
01/24/2012
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