Organization · Type 2 NPI
Elizabethtown Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Elizabethtown, KY
Practice location
914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520
Fax (502) 897-0427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | None 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Elizabethtown
About NPI 1407753734
Elizabethtown Oral and Maxillofacial Surgery's National Provider Identifier is 1407753734, issued on Oct 21, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 21, 2026.