Organization Active NPI

Leestown Dental Center

  • Dental Clinic/Center
  • Lexington, KY
National Provider Identifier
1891067161
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7921 Issued in KY
Legal business name
LEESTOWN DENTAL CENTER
Practice address
1600 Leestown Rd
Ste.138
Lexington, KY 40511-2136
Phone
(859) 232-8883
Fax
(859) 258-2084
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Dickson Peter Ufomata, DDSNPI 1295998185
Title
Doctor/Owner
Phone
(859) 232-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7921 KY Primary

Addresses

Primary practice location

1600 Leestown Rd
Ste.138
Lexington, KY 40511-2136

Mailing address

1600 Leestown Rd
Ste.138
Lexington, KY 40511-2136
Phone (859) 232-8883

National Provider Directory

National Provider Directory

Locations

1600 Leestown Rd
Ste 138
Lexington, KY 40511
Phone (859) 232-8883

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1891067161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LEESTOWN RD",
            "address_2": "STE.138",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112136",
            "telephone_number": "859-232-8883",
            "fax_number": "859-258-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LEESTOWN RD",
            "address_2": "STE.138",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112136",
            "telephone_number": "859-232-8883",
            "fax_number": "859-258-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESTOWN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "UFOMATA",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "859-232-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2012; 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.