Organization
DESIGNING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LYNN SANDIFER (AR MANAGER)
(502) 226-1900
Entity
Organization
Contact information
Practice address
630 COMANCHE TR, STE A, FRANKFORT, KY 40601
(502) 226-1900
(502) 226-1990
Mailing address
630 COMANCHE TR, STE A, FRANKFORT, KY 40601
(502) 226-1900
(502) 226-1990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5876
KY
122300000X
Dentist
Primary
8429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60058765
—
KY
Enumeration date
10/01/2007
Last updated
10/01/2007
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