Organization · Type 2 NPI

Kentucky Center for Oral & Maxillofacial Surgery PSC

Oral and Maxillofacial Surgery (Dentist) · Richmond, KY

NPI number 1457379307 Active · reactivated Sep 29, 2022

Practice location

4097 Atwood Drive
Richmond, KY 40475-2454

Fax (859) 624-2611

Mailing address

3159 Beaumont Centre Cir Ste 110
Lexington, KY 40513-1968

Specialties and licenses

TaxonomyCodeLicense
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.

Another provider at this address

About NPI 1457379307

Kentucky Center for Oral & Maxillofacial Surgery PSC's National Provider Identifier is 1457379307, issued on Jul 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Richmond, KY. The record was last updated on Oct 12, 2022.