Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lexington Periodontics and Implant Dentistry

Organization Periodontics · NPI 1811462336

Lexington Periodontics and Implant Dentistry provides 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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