Provider Demographics
NPI:1043347396
Name:ADKINS FAMILY AND COSMETIC DENTISTRY
Entity type:Organization
Organization Name:ADKINS FAMILY AND COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-543-0333
Mailing Address - Street 1:2704 OLD ROSEBUD ROAD
Mailing Address - Street 2:STE.# 210
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509
Mailing Address - Country:US
Mailing Address - Phone:859-543-0333
Mailing Address - Fax:859-543-0774
Practice Address - Street 1:2704 OLD ROSEBUD ROAD
Practice Address - Street 2:STE.# 210
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-543-0333
Practice Address - Fax:859-543-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY80121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty