Organization
COMMONWEALTH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GREGORY WHITE DMD (CEO)
(859) 533-1109
Entity
Organization
Contact information
Practice address
426 LEXINGTON RD STE 150, VERSAILLES, KY 40383-1870
(859) 873-4451
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
(859) 533-1109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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