Organization
UNIVERSITY OF KENTUCKY
Active
Other names
UK College of Dentistry - Kentucky Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG COLLINS (SR VP HEALTH AFFAIRS / CFO)
(859) 257-1773
Entity
Organization
Contact information
Practice address
740 S LIMESTONE ST, LEXINGTON, KY 40536-0284
(859) 257-3462
(859) 323-0066
Mailing address
PO BOX 931240, CLEVELAND, OH 44193-0004
(859) 323-1345
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
125Q00000X
Oral Medicine Dentistry
—
—
225100000X
Physical Therapist
PT006370
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61942801
—
KY
Enumeration date
01/30/2007
Last updated
02/13/2024
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