Boehnlein, Polly Blake Buckey

Boehnlein, Polly Blake Buckey is an individual health care provider with primary practice located at 1301 Winchester Rd Ste 225 , Lexington KY 40505-4132. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Boehnlein, Polly Blake Buckey can be contacted via phone (859) 258-2552.

Contact Information

Primary practice address
1301 Winchester Rd Ste 225 Lexington KY 40505-4132
Phone: (859) 258-2552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7932 Kentucky

Profile Details

NPI number 1730296146
LBN Legal business name Boehnlein, Polly Blake Buckey
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730296146 NPPES
Kentucky MEDICAID 60001989

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