Individual
DR. COURTNEY UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
698 PERIMETER DR STE 102, LEXINGTON, KY 40517-4141
(859) 268-9090
Mailing address
2775 POLO CLUB BLVD UNIT 126, LEXINGTON, KY 40509-8356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10771
KY
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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