<Unavail>

LBN: Interim Dent Pllc
<Unavail> is an health care organization with primary practice located at 3122 Custer Dr , Lexington KY 40517-4000. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Interim Dent Pllc can be contacted via phone (859) 273-5020, or through Kim, Jinyoung via phone (859) 273-5020.

Contact Information

Primary practice address
3122 Custer Dr Lexington KY 40517-4000
Phone: (859) 273-5020
Fax: (859) 245-2219
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jinyoung Doctor of Dental Medicine (DMD)
Phone: (859) 273-5020

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1306499082
LBN Legal business name Interim Dent Pllc
DBA Doing business as <Unavail>
Authorized official Kim, Jinyoung Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2019
Last updated Jan 18th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306499082 NPPES
Kentucky MEDICAID 7100482030

Popular Providers