Individual
DR. MICAH D DONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
740 S LIMESTONE STE E214, LEXINGTON, KY 40536-0001
(859) 323-5500
(859) 323-0001
Mailing address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10818
KY
122300000X
Dentist
8976
SC
122300000X
Dentist
DN25572
FL
1223X2210X
Orofacial Pain Dentistry
Primary
10818
KY
Other
Enumeration date
07/17/2017
Last updated
10/28/2024
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