Organization
JOHN SHEA LAIR, D.M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHEA LAIR DMD (DENTIST/OWNER)
(606) 365-7803
Entity
Organization
Contact information
Practice address
603 LANCASTER ST, STANFORD, KY 40484-1248
(606) 365-7803
(606) 365-1070
Mailing address
603 LANCASTER ST, STANFORD, KY 40484-1248
(606) 365-7803
(606) 365-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5687
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60056876
—
KY
Enumeration date
12/21/2011
Last updated
12/21/2011
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