Provider Demographics
NPI:1659690766
Name:RECTOR, JAIMIE DANIELLE (DMD)
Entity Type:Individual
Prefix:MRS
First Name:JAIMIE
Middle Name:DANIELLE
Last Name:RECTOR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-4153
Mailing Address - Country:US
Mailing Address - Phone:859-258-2552
Mailing Address - Fax:859-258-2552
Practice Address - Street 1:1301 WINCHESTER RD STE 225
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4132
Practice Address - Country:US
Practice Address - Phone:859-258-2552
Practice Address - Fax:859-258-2552
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY88791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice