Individual
DR. MATTHEW J CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2800 PALUMBO DR, SUITE 101, LEXINGTON, KY 40509-1309
(859) 263-1818
(859) 263-1819
Mailing address
2800 PALUMBO DR, SUITE 101, LEXINGTON, KY 40509-1309
(859) 263-1818
(859) 263-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7641
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000585
—
KY
Enumeration date
11/21/2006
Last updated
07/08/2007
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