IDENTITY DENTAL STUDIO PLLC NPI 1760975650

NPI Information

NPI: 1760975650
Provider Name: IDENTITY DENTAL STUDIO, PLLC

Doing Business As: IDS SMILE LAB

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
541 DARBY CREEK ROAD
STE 190
LEXINGTON, KY
ZIP 40509
Phone: (859) 287-2484
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IDENTITY DENTAL STUDIO, PLLC is a dental clinic center in Lexington, KY. IDENTITY DENTAL STUDIO, PLLC NPI is 1760975650. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ids Smile Lab.

The provider's business location address is:

541 DARBY CREEK ROAD
STE 190
LEXINGTON, KY
ZIP 40509
Phone: (859) 287-2484
Fax: (859) 287-2484

The provider's authorized official is Brandon M Stapleton .
The authorized official title is Dentist/owner and has the following contact phone number (859) 287-2484.

The enumeration date for this NPI number is 6/14/2018 and was last updated on 1/16/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	9038	KENTUCKY	No
2	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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