Shaddox, Luciana

Shaddox, Luciana is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Shaddox, Luciana can be contacted via phone (859) 323-3368.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536
Phone: (859) 323-3368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10148 Kentucky
Dental Providers / Periodontics 1223P0300X 10148 Kentucky

Profile Details

NPI number 1548278377
LBN Legal business name Shaddox, Luciana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 29th, 2020 - about 6 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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