Individual
DR. THOMAS A MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-5992
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 323-5992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6411
KY
1223G0001X
General Practice Dentistry
Primary
6411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064110
—
KY
05
—
9177027
—
KY
Enumeration date
09/24/2006
Last updated
01/14/2015
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