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HENDRICKS FAMILY & COSMETIC DENTISTRY NPI 1790175438


NPI Information

NPI: 1790175438
Provider Name: HENDRICKS FAMILY & COSMETIC DENTISTRY
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1025 DOVE RUN RD STE 208
LEXINGTON, KY
ZIP 40502
Phone: (859) 368-8618
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HENDRICKS FAMILY & COSMETIC DENTISTRY is a point of service in Lexington, KY. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. HENDRICKS FAMILY & COSMETIC DENTISTRY NPI is 1790175438. The provider is registered as an organization entity type.

The provider's business location address is:

1025 DOVE RUN RD STE 208
LEXINGTON, KY
ZIP 40502-588
Phone: (859) 368-8618

The provider's authorized official is Don Michael Hendricks .
The authorized official title is Dentist/owner and has the following contact phone number (859) 368-8618.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service8627KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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