OrganizationActive
Foundational Dental Limited Liability Company
NPI 1306629050 · Dental Clinic/Center · Lexington, KY
Provider details
- NPI number
- 1306629050
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan White, Managing Member(270) 339-4583
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
180 Prosperous Pl Ste 101
Lexington, KY 40509-1845
Phone: (270) 339-4583
Approximate (ZIP-level) locationGet directions
Mailing address
180 Prosperous Pl Ste 101
Lexington, KY 40509-1845
Other names (DBA / former)
- Doing business as
- Eagle Creek Dental Associates
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.