PERIMETER PERIODONTICS PLLC (NPI# 1124327200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124327200 |
| Entity Type | Organization |
| Organization Name | PERIMETER PERIODONTICS PLLC |
| Practice Address |
620 Perimeter Dr Ste 103 Lexington KY 40517-4125 |
| Practice Telephone | 8592681596 |
| Practice Fax Number | 8599777376 |
| Mailing Telephone | 8592681596 |
| Mailing Fax Number | 8599777376 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | DR. JUSTIN C. CLEMENS (OWNER/DENTIST) |
| Authorized Official Telephone | 8592681596 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8167 | KY | Dental Providers |
| Street Address |
620 PERIMETER DR STE 103 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317214 | Gregory R Erena | Dentist | 620 Perimeter Dr, Ste 100, Lexington, KY 40517-4125 | 2005-06-22 |
| 1588941298 | Nancy Katherine Von Lackum | Dentist | 620 Perimeter Dr, Suite 103, Lexington, KY 40517-4125 | 2011-11-08 |
| 1134418353 | John M Falace, Dmd | Dentist | 620 Perimeter Dr, Ste 200, Lexington, KY 40517-4125 | 2011-03-29 |
| 1285942649 | Erena & Peterson, Pllc | Oral & Maxillofacial Surgery | 620 Perimeter Dr, Suite 100, Lexington, KY 40517-4125 | 2010-09-20 |
| 1669633079 | John Michael Falace | Dentist | 620 Perimeter Dr, Ste 200, Lexington, KY 40517-4125 | 2008-06-18 |
| 1417152166 | William G Fain | Dentist | 620 Perimeter Dr, Suite 206, Lexington, KY 40517-4125 | 2007-06-20 |
| 1861697518 | Jill M Miller | Dentist | 620 Perimeter Dr, Suite 206, Lexington, KY 40517-4125 | 2007-06-20 |
| 1063586261 | Gregory Alan Carman | Dentist | 620 Perimeter Dr, Suite 203, Lexington, KY 40517-4125 | 2006-11-20 |
| 1497830525 | William Daugherty | Dentist | 620 Perimeter Dr, Suite 207, Lexington, KY 40517-4125 | 2006-10-26 |
| 1225113343 | Edward Tipton | Dentist | 620 Perimeter Dr, Lexington, KY 40517-4125 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| 1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
| 1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
| 1609013481 | Amjad Aldallal | Dentist | 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808 | 2009-01-15 |
| 1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
| 1023130275 | Walter Neal Shepherd | Dentist | 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 | 2007-04-06 |
| 1346385010 | Paul Armstrong Jr. | Dentist | 811 Corporate Dr, 302, Lexington, KY 40503-5407 | 2007-02-21 |
| 1205927696 | Gregory Shawn Vance | Dentist | 3285 Blazer Pkwy, Suite 210, Lexington, KY 40509-2119 | 2006-09-28 |
| 1962511832 | Garnett C. Brown IIi | Dentist | 1001 Monarch St Ste 200, Lexington, KY 40513-1875 | 2006-08-30 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.