Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 3912 | KY |
NPI | 1700829124 |
---|---|
Provider Name | Dr. James C Cecil, Iii |
First Address | Lexington, KY 40515-1142 |
Second Address | Frankfort, KY 40621-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |