Foundational Dental Limited Liability Company
Foundational Dental Limited Liability Company is a Dental Clinic/Center in Lexington, Kentucky. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
180 Prosperous Pl Ste 101Lexington, KY 40509-1845
Phone: (270) 339-4583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1306629050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan White — Managing Member · (270) 339-4583 |
| Other names | Eagle Creek Dental Associates |
| NPI enumerated | August 16, 2023 |
| Last updated in NPPES | August 16, 2023 |
| Certification date | August 16, 2023 |
| Mailing address | 180 Prosperous Pl Ste 101, Lexington, KY 40509-1845 |
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