Provider Demographics
NPI:1932296639
Name:SLEET, HARRY W II (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:W
Last Name:SLEET
Suffix:II
Gender:M
Credentials:DMD, MD
Other - Prefix:DR
Other - First Name:HANK
Other - Middle Name:W
Other - Last Name:SLEET
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:DMD, MD
Mailing Address - Street 1:20 MEDICAL VILLAGE DR
Mailing Address - Street 2:SUITE 196
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5401
Mailing Address - Country:US
Mailing Address - Phone:859-331-2100
Mailing Address - Fax:859-344-4841
Practice Address - Street 1:20 MEDICAL VILLAGE DR
Practice Address - Street 2:SUITE 196
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-5401
Practice Address - Country:US
Practice Address - Phone:859-331-2100
Practice Address - Fax:859-344-4841
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY72601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery