Kentuckiana Oral & Maxillofacial Surgery Assoc Psc
LBN: Kentuckiana Oral & Maxillofacial Surgery Assoc Psc
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is an health care organization with primary practice located at 2800 Cannons Ln Ste 200, Louisville KY 40205. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc can be contacted via phone (502) 454-4885, or through Walters, Nathan F via phone (502) 454-4885.
Contact Information
Primary practice address
2800 Cannons Ln Ste 200
Louisville KY 40205
Phone: (502) 454-4885
Fax: (502) 452-1926
Website:
Authorized official contact:
Name: Walters, Nathan F Doctor of Dental Medicine (DMD)
Phone: (502) 454-4885
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Kentucky | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Kentucky | |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | Kentucky |
Profile Details
| NPI number | 1396737011 |
|---|---|
| LBN Legal business name | Kentuckiana Oral & Maxillofacial Surgery Assoc Psc |
| DBA Doing business as | |
| Authorized official | Walters, Nathan F Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Feb 6th, 2018 - about 6 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 | 1396737011 | NPPES |
| Kentucky | Other | DC1281 | RAILROAD MEDICARE |
| Kentucky | Other | 50004012 | RAILROAD MEDICARE |
| Kentucky | MEDICAID | 7100224860 | RAILROAD MEDICARE |
| Kentucky | MEDICAID | 7100231360 | RAILROAD MEDICARE |
| Kentucky | MEDICAID | 7100232940 | RAILROAD MEDICARE |
Popular Providers
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Steven M Florence Dmd Plc
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Associates In Oral And Maxillofacial Surgery, Plc
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Fred Look, P.S.C., D.M.D.
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Thad R. Schulten Psc
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David T. Dodd Dmd
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Joseph H. Cieslak Dds, Pllc
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