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Crisp Dre Llc
Pediatric Dentist in Winchester, Kentucky
NPI 1902671373

Crisp Dre Llc is a Pediatric Dentist based in Lexington, KY and is specialized in Pediatric Dentistry. Crisp Dre Llc practices in Winchester, KY. The NPI Number for Crisp Dre Llc is 1902671373 and holds a License No. (Kentucky).

The current practice location address for Crisp Dre Llc is 11 Canary Ln, Winchester, KY and can be reached out via phone at 859-744-7031.

Location: 11 Canary Ln, Winchester, KY, 40507-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902671373
Provider Name
Crisp Dre Llc
Credential
Provider Entity Type
Organization
Address
11 Canary Ln, Winchester, KY, 40507-2109
Phone Number
859-744-7031
Fax Number
Provider Enumeration Date
11/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11 Canary Ln
City
Winchester
State
Kentucky
Zip
40391-1645
Phone Number
859-744-7031
Fax Number
person
Provider Business Mailing Address Details
Address
11 Canary Ln
City
Winchester
State
Kentucky
Zip
40391-1645
Phone Number
859-744-7031
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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