OrganizationActive
Facial Plastic Surgery & Dermatology PLLC
NPI 1881030088 · MOHS-Micrographic Surgery Physician · Lexington, KY
Provider details
- NPI number
- 1881030088
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Pruden, Owner(859) 226-0206
- License
- 34192 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
448 Lewis Hargett Cir
Ste 240
Lexington, KY 40503-3594
Phone: (859) 226-0206
Fax: (859) 226-0207
Street-level locationGet directions
Mailing address
3070 Lakecrest Cir
Lexington, KY 40513-1937
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2013-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.