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Individual

DR. DOLPHUS RANSOME DAWSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.S.

Contact information

Practice address
800 ROSE ST # D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-6193
(859) 257-5859
Mailing address
800 ROSE ST # D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-6193
(859) 257-5859

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6689
KY
1223P0300X
Periodontics
Primary
6689
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60066891
KY
Enumeration date
10/19/2007
Last updated
01/15/2015
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