Organization
KENTUCKY LIFETIME DENTAL, P.S.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Smart Dental & Hygiene Express
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
2600 NICHOLASVILLE RD STE 120, LEXINGTON, KY 40503-3492
(859) 309-1356
Mailing address
2600 NICHOLASVILLE RD STE 120, LEXINGTON, KY 40503-3492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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