Organization
ELVIDGE & LASHEEN, DMD,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A LASHEEN D.M.D. (PRESIDENT)
(859) 873-5913
Entity
Organization
Contact information
Practice address
360 AMSDEN AVE, SUITE 400, VERSAILLES, KY 40383-1851
(859) 873-5913
(879) 879-1027
Mailing address
360 AMSDEN AVE, SUITE 400, VERSAILLES, KY 40383-1851
(859) 873-5913
(879) 879-1027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821853
UNITED CONCORDIA PROVIDER
KY
Enumeration date
02/02/2007
Last updated
08/22/2020
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