Organization
KENTUCKY CENTER FOR ORTHODONTICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HUANG (VP/SEC/TREAS)
(859) 223-3939
Entity
Organization
Contact information
Practice address
860 CORPORATE DR, STE. 201, LEXINGTON, KY 40503-5425
(859) 223-3939
Mailing address
860 CORPORATE DR, STE. 201, LEXINGTON, KY 40503-5425
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60052388
—
KY
Enumeration date
09/06/2006
Last updated
08/22/2020
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