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

Identity Dental Studio, PLLC

Organization Prosthodontics · NPI 1760975650

Identity Dental Studio, PLLC is a Prosthodontics in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

541 Darby Creek Rd Ste 190
Lexington, KY 40509
Phone: (859) 287-2484
Fax: (859) 287-2484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Prosthodontics Taxonomy 1223P0700X · Licence 9038 (KY)

Record details

NPI number1760975650
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdentity Dental Studio, PLLC
Authorized official Brandon Stapleton — Dentist/Owner · (859) 287-2484
Other names Ids Smile Lab
NPI enumeratedJune 14, 2018
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing address541 Darby Creek Road, Ste 190, Lexington, KY 40509

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