Organization · Type 2 NPI

Oral Surgery Group of Middletown, PLLC

Oral and Maxillofacial Surgery Clinic/Center · Middletown, KY

NPI number 1497070148 Active

Practice location

134 Evergreen Rd
Middletown, KY 40243-1487

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Dental Clinic/Center 261QD0000XNone listed
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X7229 (KY)

Oral and Maxillofacial Surgery Clinic/Center: 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

About NPI 1497070148

Oral Surgery Group of Middletown, PLLC's National Provider Identifier is 1497070148, issued on Apr 6, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Middletown, KY. The record was last updated on Jul 1, 2013.