Lifetime Dental Care of Ky PSC
Organization Active NPI Dentist · Burlington, KY
NPI 1104989425 · NPPES record last updated Jan 16, 2017
Key facts
- NPI
- 1104989425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- LIFETIME DENTAL CARE OF KY PSC
- Practice address
- 1779 Patrick Dr
Burlington, KY 41005-7302 - Phone
- (859) 689-2730
- NPI assigned
- Dec 18, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LIFETIME DENTAL CARE OF KY PSC
Authorized official
- Name
- Kim A Zuber
- Title
- Cred Supervisor
- Phone
- (217) 540-5100
Corporate family (same tax ID) 3
Practitioners 3
-
Jack R Mercke, DMD
-
Gregory J Pohl, DDS
-
Elizabeth Hanks Hord, DMD, MPH
National Provider Directory
- Tax ID family
- Lifetime Dental Care of Kentucky PSC - Dr Wayne Olges
- Part of
- Lifetime Dental Care of Kentucky PSC - Dr Wayne Olges
Locations
1779 Patrick Dr
Burlington, KY 41005
Phone (859) 689-2730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
1779 Patrick Dr
Burlington, KY 41005-7302
Mailing address
1779 Patrick Dr
Burlington, KY 41005-7302
Phone (859) 689-2730
Other names
- Dentistry Plus - Burlington
Other providers in Burlington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.