Individual
MS. CHARLOTTE A HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
800 ROSE STREET RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-9707
(859) 257-5859
Mailing address
800 ROSE STREET RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-9707
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4592
KY
1223P0221X
Pediatric Dentistry
Primary
4592
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60045929
—
KY
Enumeration date
03/31/2006
Last updated
01/20/2015
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