Provider Demographics
NPI:1760859672
Name:MORENO HAY, ISABEL (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:MORENO HAY
Suffix:
Gender:F
Credentials:DDS, PHD
Other - Prefix:DR
Other - First Name:ISABEL
Other - Middle Name:
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, PHD
Mailing Address - Street 1:740 S LIMESTONE STE E-214
Mailing Address - Street 2:UNIV OF KENTUCKY COLLEGE OF DENTISTRY/OROFACIAL PAIN
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5500
Mailing Address - Fax:859-323-0001
Practice Address - Street 1:740 S LIMESTONE STE E-214
Practice Address - Street 2:UNIV OF KENTUCKY COLLEGE OF DENTISTRY/OROFACIAL PAIN
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-5500
Practice Address - Fax:859-323-0001
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9119122300000X, 1223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain
No122300000XDental ProvidersDentist