Organization
UNIVERSITY OF KENTUCKY
Active
Other names
UK College of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG COLLINS (SR VP HEALTH AFFAIRS / CFO)
(859) 257-7113
Entity
Organization
Contact information
Practice address
770 ROSE ST ROOM D104, LEXINGTON, KY 40536-0297
(859) 323-1345
(859) 257-5859
Mailing address
PO BOX 951326, CLEVELAND, OH 44193-0004
(859) 323-1345
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45610904
—
KY
05
—
61940045
—
KY
05
—
61942793
—
KY
05
—
61942819
—
KY
05
—
65912164
—
KY
Enumeration date
10/23/2006
Last updated
04/10/2024
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