Healthcare Provider Details

I. General information

NPI: 1932792132
Provider Name (Legal Business Name): LENIHAN AND HOFFER DENTAL PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 VIOLET RD STE 1
CRITTENDEN KY
41030-8948
US

IV. Provider business mailing address

800 VIOLET RD STE 1
CRITTENDEN KY
41030-8948
US

V. Phone/Fax

Practice location:
  • Phone: 859-428-3100
  • Fax: 859-428-3999
Mailing address:
  • Phone: 859-428-3100
  • Fax: 859-428-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN FRANCIS LENIHAN II
Title or Position: DENTIST
Credential: DMD
Phone: 859-428-3100