Provider Demographics
NPI:1346303666
Name:DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Entity Type:Organization
Organization Name:DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Other - Org Name:DENTISTRY PLUS - LEXINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE/RECEIVABLES
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-540-5100
Mailing Address - Street 1:2800 PALUMBO DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1309
Mailing Address - Country:US
Mailing Address - Phone:859-263-1818
Mailing Address - Fax:859-263-1819
Practice Address - Street 1:2800 PALUMBO DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1309
Practice Address - Country:US
Practice Address - Phone:859-263-1818
Practice Address - Fax:859-263-1819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-18
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty