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

Jack Moynihan

Individual provider General Practice Dentistry · NPI 1033968995

Jack Moynihan is a General Practice Dentistry in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

800 Rose St
Lexington, KY 40536-7001
Phone: (413) 313-3700
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11143 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033968995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address800 Rose St Rm D-508, Lexington, KY 40536-1304

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