Robert H Hollingsworth, DMD

Individual provider Active NPI General Practice Dentistry · Lancaster, KY

NPI 1013160993 · NPPES record last updated Oct 23, 2008

Key facts

NPI
1013160993
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4596 (KY)
Practice address
1183 Stanford Road
Lancaster, KY 40444
Phone
(859) 792-4236
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dynamics LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4596 KY Yes

Addresses

Primary practice location

1183 Stanford Road
Lancaster, KY 40444

Mailing address

230 Oster Dr
Harrodsburg, KY 40330-8726
Phone (859) 748-0563

Other providers in Lancaster, KY

All providers in Lancaster, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.