University of Kentucky
Organization Active NPI Dentist · Lexington, KY
NPI 1306929385 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1306929385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- UNIVERSITY OF KENTUCKY
- Practice address
- 770 Rose St Room D104
Lexington, KY 40536-0297 - Phone
- (859) 323-1345
- Fax
- (859) 257-5859
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Craig Collins
- Title
- Sr VP Health Affairs / Cfo
- Phone
- (859) 257-7113
Other NPIs on the same Medicare enrollment 7
Member organizations 16
Practitioners 63
-
Francis Darty Abell, DMD
-
Susan Sollars Bishop, DMD
-
Emily Bausch Blevins, DMD
-
James Tyler Bolin, DMD
-
Sarah Diane Bronski, APRN
-
John B Burt, DMD
-
Andrew Steven Cude, DMD
-
Timothy Allen Cude, DMD
-
Eric T Demann, DMD
-
David E Eccker, DMD
-
Stephen Wilson Farley, D.M.D.
-
Octavio Alberto Gonzalez, D.D.S., PHD.
-
Dejon Graves, DMD
-
Dustin Jordan Hall, D.M.D
-
H. Fred Howard, DMD
-
Sarandeep S Huja, DDS, PHD
-
Scott Jacobs, DMD
-
Donald L. Kelley II, D.D.S., M.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000072 | KY | Part B Supplier - Clinic/Group Practice | 3072425289 |
Receives reassigned benefits from 2,079 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20100930007777 | KY | DME Supplier - Oral Surgery - Dentist | 3072425289 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lexington, KY |
National Provider Directory
Locations
770 Rose St Mn 530
Lexington, KY 40536
800 Rose St
Ste D511
Lexington, KY 40536
740 S Limeston
Rm E214
Lexington, KY 40536
800 Rose St
#104
Lexington, KY 40536
800 Rose St
#D131
Lexington, KY 40536
800 Rose St
Ste MN528
Lexington, KY 40536
800 Rose St
Ste D202
Lexington, KY 40536
2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
770 Rose St D104
Lexington, KY 40536
2333 Alumni Park Plz
Ste 100
Lexington, KY 40517
800 Rose St
#D202
Lexington, KY 40536
Phone (859) 323-6525
800 Rose St
Rm H109
Lexington, KY 40536
770 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-1345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes | ||
| Endodontics |
1223E0200X | |||
| General Practice Dentistry |
1223G0001X | |||
| Pediatric Dentistry |
1223P0221X | |||
| Periodontics |
1223P0300X | |||
| Prosthodontics |
1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | |||
| Oral & Maxillofacial Surgery (D.M.D.) |
204E00000X |
Addresses
Primary practice location
770 Rose St Room D104
Lexington, KY 40536-0297
Mailing address
PO Box 951326
Cleveland, OH 44193-0004
Phone (859) 323-1345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65912164 | Medicaid | KY | |
| 45610904 | Medicaid | KY | |
| 61940045 | Medicaid | KY | |
| 61942819 | Medicaid | KY | |
| 61942793 | Medicaid | KY |
Other names
- UK College of Dentistry
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.