Individual
DR. LUCIANA SHADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-3368
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536
(859) 323-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10148
KY
1223P0300X
Periodontics
Primary
10148
KY
Other
Enumeration date
08/04/2006
Last updated
01/29/2020
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