Individual
DR. DUSTIN ALAN MAYRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3141 BEAUMONT CENTRE CIR STE 300, LEXINGTON, KY 40513
(859) 223-2120
(859) 223-5276
Mailing address
740 S LIMESTONE RM A262, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9920
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
04/12/2017
Last updated
07/01/2021
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