| Mt State Oral & Facial Surgery | |
|
2301 Lexington Ave Ste 120 Ashland KY 41101-2807 | |
| (304) 399-1092 | |
| Not Available |
| Full Name | Mt State Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2301 Lexington Ave Ste 120, Ashland, Kentucky |
| Authorized Official Name and Position | Lesley Marie Coyner (CREDENTIALING) |
| Authorized Official Contact | 3043451092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt State Oral & Facial Surgery 103 Station Place Way Hurricane WV 25526-8747 Ph: (304) 720-7819 | Mt State Oral & Facial Surgery 2301 Lexington Ave Ste 120 Ashland KY 41101-2807 Ph: (304) 399-1092 |
| NPI Number | 1003388117 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003388117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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