Stephanos Kyrkanides, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Lexington, KY
NPI 1356458665 · NPPES record last updated Jun 12, 2020
Key facts
- NPI
- 1356458665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 10387 (KY)
- Practice address
- 800 Rose St # D-132
Lexington, KY 40536-7001 - Phone
- (859) 323-1884
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049434 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 049434 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10387 | KY | Yes |
Addresses
Primary practice location
800 Rose St # D-132
Lexington, KY 40536-7001
Mailing address
800 Rose St # D-132
Lexington, KY 40536-7001
Phone (859) 323-1884
Other providers in Lexington, KY
- Ky Dental Professional, PSC
- Ky Doctors of Optometry, PLLC
- Ky Doctors of Optometry, PLLC
- Phyo P Kyaw
- Kyle Barnes, O.D., PLLC
- L. Vaughn Boggess, DMD, PSC
- Mary La
- Bethany Laakkonen
- Lab Express LTD, PLLC
- Ihab Youssef Labatia
All providers in Lexington, KY · Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2020. 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.