Individual
DR. ATUL M DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2533 LARKIN RD, THE KENTUCKY CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LEXINGTON, KY 40503-3278
(859) 278-9376
Mailing address
4390 CLEARWATER WAY, APT #708, LEXINGTON, KY 40515-6359
(502) 649-9666
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9642
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
9642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100353980
—
KY
05
—
7100365770
—
KY
Enumeration date
07/07/2008
Last updated
02/11/2016
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