Danville Oral And Maxillofacial Surgery
LBN: Beto & Bogardus
Danville Oral And Maxillofacial Surgery is an health care organization with primary practice located at 400 S 4Th St , Danville KY 40422-2007. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Beto & Bogardus can be contacted via phone (859) 236-1130, or through Peavler, Sherry L via phone (859) 236-1130.
Contact Information
Primary practice address
400 S 4Th St
Danville KY 40422-2007
Phone: (859) 236-1130
Fax: (859) 239-9384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Kentucky | |
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1730259292 |
|---|---|
| LBN Legal business name | Beto & Bogardus |
| DBA Doing business as | Danville Oral And Maxillofacial Surgery |
| Authorized official | Peavler, Sherry L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Feb 23rd, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730259292 | NPPES |
| Kentucky | MEDICAID | 64031842 | |
| Kentucky | MEDICAID | 61941860 | |
| Kentucky | MEDICAID | 65912990 | |
| Kentucky | MEDICAID | 60003175 |
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