Kentucky Center For Oral & Maxillofacial Surgery

LBN: Kentucky Center For Oral & Maxillofacial Surgery
Kentucky Center For Oral & Maxillofacial Surgery is an health care organization with primary practice located at 4097 Atwood Drive , Richmond KY 40475-2454. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Kentucky Center For Oral & Maxillofacial Surgery can be contacted via phone (859) 623-7711, or through Vaughn, Reda S. via phone (859) 278-9376.

Contact Information

Primary practice address
4097 Atwood Drive Richmond KY 40475-2454
Phone: (859) 623-7711
Fax: (859) 624-2611
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Reda S.
Phone: (859) 278-9376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1740323633
LBN Legal business name Kentucky Center For Oral & Maxillofacial Surgery
DBA Doing business as
Authorized official Vaughn, Reda S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Sep 29th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740323633 NPPES
Kentucky MEDICAID 7100182700

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