Individual provider · Type 1 NPI

Jack Moynihan

General Practice Dentistry · Lexington, KY

NPI number 1033968995 Active

Practice location

800 Rose St
Lexington, KY 40536-7001

Call (413) 313-3700 Map

Mailing address

800 Rose St Rm D-508
Lexington, KY 40536-1304

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X11143 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1033968995

Jack Moynihan's National Provider Identifier is 1033968995, issued on May 14, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lexington, KY. The record was last updated on Sep 29, 2025.