Provider Demographics
NPI:1770618696
Name:TEMPRO, PAULETTE JUANITA (DDS)
Entity type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:JUANITA
Last Name:TEMPRO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2914
Mailing Address - Country:US
Mailing Address - Phone:859-278-0381
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KENTUCKY
Practice Address - Street 2:COLLEGE OF DENTISTRY, D440
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5391
Practice Address - Fax:859-257-1847
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY85361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics