Southern Kentucky Oral Surgery Associates Pllc
LBN: Southern Kentucky Oral Surgery Associates Pllc
Southern Kentucky Oral Surgery Associates Pllc is an health care organization with primary practice located at 1802 Rockingham Ave , Bowling Green KY 42104-3348. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Southern Kentucky Oral Surgery Associates Pllc can be contacted via phone (270) 783-0064, or through Alvey, Vickie via phone (270) 783-0064.
Contact Information
Primary practice address
1802 Rockingham Ave
Bowling Green KY 42104-3348
Phone: (270) 783-0064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1013104892 |
|---|---|
| LBN Legal business name | Southern Kentucky Oral Surgery Associates Pllc |
| DBA Doing business as | |
| Authorized official | Alvey, Vickie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Sep 21st, 2021 - about 3 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 | 1013104892 | NPPES |
| Kentucky | MEDICAID | 7100049450 | |
| Kentucky | MEDICAID | 7100049460 |
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