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

Lexington Periodontics and Implant Dentistry

Organization Periodontics · NPI 1811462336

Lexington Periodontics and Implant Dentistry is a Periodontics in Lexington, Kentucky. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

620 Perimeter Dr Ste 201
Lexington, KY 40517-4125
Phone: (859) 269-0070
Fax: (859) 367-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1811462336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Von Lackum — Periodontist · (859) 269-0070
NPI enumeratedOctober 11, 2018
Last updated in NPPESOctober 11, 2018
Mailing address620 Perimeter Dr Ste 201, Lexington, KY 40517-4125

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