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Dr. William G Fain, DMD

Dentist in Lexington, KY. Individual provider (NPI-1).

NPI number1417152166
StatusActive
Last updated in NPPESJul 23, 2013

Details

NPI
1417152166
Entity type
Individual (NPI-1)
Name
Dr. William G Fain
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2007
Last updated
Jul 23, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist7106KYYes

Practice location

620 Perimeter Dr
Suite 206
Lexington, KY 40517-4125

Phone 859-269-5391

Mailing address

620 Perimeter Dr
Suite 206
Lexington, KY 40517-4125

Phone 859-269-5391

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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