Potocki, Jon Thaddeus

Potocki, Jon Thaddeus is an individual health care provider with primary practice located at 800 Rose St Rm D104 , Lexington KY 40536-0297. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Potocki, Jon Thaddeus can be contacted via phone (517) 281-9452.

Contact Information

Primary practice address
800 Rose St Rm D104 Lexington KY 40536-0297
Phone: (517) 281-9452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 9577 Kentucky

Profile Details

NPI number 1053671768
LBN Legal business name Potocki, Jon Thaddeus
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Mar 22nd, 2017 - about 9 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.

Request for update

Popular Providers