Individual
DONALD P MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2533 LARKIN RD, LEXINGTON, KY 40503-3278
(859) 278-9376
(859) 276-0260
Mailing address
2533 LARKIN RD, STE 101, LEXINGTON, KY 40503-3278
(859) 278-9376
(859) 276-0260
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7458
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7458
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60074580
—
KY
05
—
64074586
—
KY
Enumeration date
07/19/2006
Last updated
02/08/2016
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