Organization
DENTAL CARE OF KENTUCKY, P.S.C.
Active
Parent organization
DENTAL CARE OF KENTUCKY, P.S.C.
Other names
South Farm Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL CARE OF KENTUCKY, P.S.C.
Authorized official
PAM HARDIEK (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
4097 NICHOLS PARK DR, SUITE 112, LEXINGTON, KY 40503-4428
(859) 971-9238
(859) 971-9274
Mailing address
4097 NICHOLS PARK DR, SUITE 112, LEXINGTON, KY 40503-4428
(859) 971-9238
(859) 971-9274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
12/13/2010
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