Organization · Type 2 NPI

Southern Kentucky Oral Surgery Associates PLLC

Oral and Maxillofacial Surgery (Dentist) · Bowling Green, KY

NPI number 1013104892 Active

Practice location

1802 Rockingham Ave
Bowling Green, KY 42104-3348

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6 other providers at this address

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About NPI 1013104892

Southern Kentucky Oral Surgery Associates PLLC's National Provider Identifier is 1013104892, issued on Sep 26, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 21, 2021.