Addison Young Dmd Pllc

NPI #1508671058 in Lexington, Kentucky

Provider Information

NPI Number
1508671058
Entity Type
Organization
Organization Name
Addison Young Dmd Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 11, 2025
Last Updated
Feb 11, 2025

Practice Location

Address
3695 NICHOLASVILLE RD STE 140
ZIP Code
40503-4493
Phone
(859) 272-0130

Authorized Official

Name
CHRISTINE BARBER
Title
PROVIDER ENROLLMENT TEAM LEAD
Phone
(315) 454-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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