Provider Demographics
NPI:1336423078
Name:EMECEN HUJA, PINAR
Entity Type:Individual
Prefix:
First Name:PINAR
Middle Name:
Last Name:EMECEN HUJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTY
Mailing Address - Street 2:800 ROSE ST. D-440
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0297
Mailing Address - Country:US
Mailing Address - Phone:614-209-6890
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTY
Practice Address - Street 2:800 ROSE ST. D-440
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0297
Practice Address - Country:US
Practice Address - Phone:614-209-6890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9126122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100181510Medicaid