TMJ and Sleep Dentistry Center of Central Kentucky LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5595 Issued in KY

Legal business name

TMJ AND SLEEP DENTISTRY CENTER OF CENTRAL KENTUCKY LLC

Practice address

2408 Sir Barton Way Ste 275
Lexington, KY 40509-3000

Phone

(859) 223-2120

NPI assigned

Dec 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Golibersuch, DDS

Title

Onwer

Phone

(859) 223-2120

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1487198016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SIR BARTON WAY STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405093000",
            "telephone_number": "859-223-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SIR BARTON WAY STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405093000",
            "telephone_number": "859-223-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ AND SLEEP DENTISTRY CENTER OF CENTRAL KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "GOLIBERSUCH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "859-223-2120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Coo Tiu, M.D.
• Emily Collins Tiwana, MD
• TKT Optique
• TLC Patient Transit LLC,
• TLT Phillips, LLC
• TMS Center of Lexington, PLLC
• Emma Tobe
• Avery Marie Tobergte
• Stuart Tobin, MD
• Agata M Toborek, M.D.

• Customized Equipment (DME) in Lexington, KY
• Providers in Lexington, KY by specialty
• Customized Equipment (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.