Organization · Type 2 NPI

Commonwealth Oral and Maxillofacial Surgery, PSC

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1922480250 Active

Practice location

6520 Glenridge Park Pl, Suite 7
Louisville, KY 40222-3455

Fax (502) 423-7830

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8588 (KY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X8588 (KY)

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.

10 other providers at this address

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About NPI 1922480250

Commonwealth Oral and Maxillofacial Surgery, PSC's National Provider Identifier is 1922480250, issued on Jun 23, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Louisville, KY. The record was last updated on Jun 23, 2015.