Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Facial Plastic Surgery & Dermatology PLLC

Organization Dermatology Physician · NPI 1881030088

Facial Plastic Surgery & Dermatology PLLC is a Dermatology Physician in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

448 Lewis Hargett Cir Ste 240
Lexington, KY 40503-3594
Phone: (859) 226-0206
Fax: (859) 226-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 34192 (KY)
Dermatology Physician Taxonomy 207N00000X · Licence 34192 (KY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 34192 (KY)

Record details

NPI number1881030088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Pruden — Owner · (859) 226-0206
NPI enumeratedMay 14, 2013
Last updated in NPPESAugust 27, 2013
Mailing address3070 Lakecrest Cir, Ste. 400-264, Lexington, KY 40513-1937

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