LEXINGTON PERIODONTICS AND IMPLANT DENTISTRY


Address: 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125
Phone: 8592690070

LEXINGTON PERIODONTICS AND IMPLANT DENTISTRY (NPI# 1811462336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811462336
Entity Type Organization
Organization Name LEXINGTON PERIODONTICS AND IMPLANT DENTISTRY
Practice Address 620 Perimeter Dr Ste 201
Lexington
KY 40517-4125
Practice Telephone 8592690070
Practice Fax Number 8593670079
Mailing Telephone 8592690070
Mailing Fax Number 8593670079
Enumeration Date 2018-10-11
Last Update Date 2018-10-11
Authorized Official Name DR. NANCY K VON LACKUM (PERIODONTIST)
Authorized Official Telephone 8592690070
Authorized Official Credential DMD, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Office Location

Street Address 620 PERIMETER DR STE 201
City LEXINGTON
State KY
Zip Code 40517-4125

Providers in the same zip code

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 Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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
1053427864 James B Laney Dentist 1356a Northlake Drive, Lexington, SC 29072 2006-08-22
Find all providers in LEXINGTON

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City LEXINGTON
Zip Code 40517

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Dataset Information

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.

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