Provider Demographics
NPI:1033314109
Name:LEXINGTON DENTAL CARE, PLLC
Entity Type:Organization
Organization Name:LEXINGTON DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-359-7321
Mailing Address - Street 1:7305 HURON AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-9263
Mailing Address - Country:US
Mailing Address - Phone:810-359-7321
Mailing Address - Fax:810-359-7614
Practice Address - Street 1:7305 HURON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MI
Practice Address - Zip Code:48450-9263
Practice Address - Country:US
Practice Address - Phone:810-359-7321
Practice Address - Fax:810-359-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty