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Individual

DR. WILLIAM SCOTT JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Contact information

Practice address
216 FOUNTAIN CT, SUITE 110, LEXINGTON, KY 40509-1888
(859) 264-1898
(859) 685-0110
Mailing address
3140 WARREN WOOD WYND, LEXINGTON, KY 40502
(859) 276-4041

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7606
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
774
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60003928
KY
05
64120793
KY
Enumeration date
07/17/2006
Last updated
09/09/2015
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