Organization Active NPI

Pleasant Dentistry PSC

Doing business as Lexington Dental Center PLLC

  • Dentist
  • Lexington, KY
National Provider Identifier
1588755755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3780 Issued in KY
Legal business name
PLEASANT DENTISTRY PSC
Doing business as
Lexington Dental Center PLLC
Practice address
3138 Custer Drive
200
Lexington, KY 40517-4064
Phone
(859) 273-4141
Fax
(859) 273-4866
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Damon G Pleasant, DMD FAGD
Title
Dentist Owner
Phone
(859) 273-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3780 KY Primary

Addresses

Primary practice location

3138 Custer Drive
200
Lexington, KY 40517-4064

Mailing address

3138 Custer Drive
200
Lexington, KY 40517-4064
Phone (859) 273-4141

Other identifiers 1

IdentifierTypeStateIssuer
3780OtherKYSTATE BOARD LIC

Other names 1

  • Lexington Dental Center PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

3138 Custer Dr
Ste 200
Lexington, KY 40517
Phone (859) 273-4141

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588755755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 CUSTER DRIVE",
            "address_2": "200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174064",
            "telephone_number": "859-273-4141",
            "fax_number": "859-273-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 CUSTER DRIVE",
            "address_2": "200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174064",
            "telephone_number": "859-273-4141",
            "fax_number": "859-273-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT DENTISTRY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "859-273-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LIC",
            "identifier": "3780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Dental Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.