| East Kentucky Oral & Maxillofacial Surgery, Psc | |
|
387 Town Mountain Rd Pikeville KY 41501-1640 | |
| (606) 432-5983 | |
| (606) 432-9474 |
| Full Name | East Kentucky Oral & Maxillofacial Surgery, Psc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 387 Town Mountain Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Chad Clifton Street (OWNER) |
| Authorized Official Contact | 6064325983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Kentucky Oral & Maxillofacial Surgery, Psc Po Box 2069 Pikeville KY 41502-2069 Ph: (606) 432-5983 | East Kentucky Oral & Maxillofacial Surgery, Psc 387 Town Mountain Rd Pikeville KY 41501-1640 Ph: (606) 432-5983 |
| NPI Number | 1962414680 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962414680 | NPI | - | NPPES |
| 60002300 | Medicaid | KY | |
| 64068414 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7103 (Kentucky) | Primary |
The Dentist Office Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 S Mayo Trail, Suite 101, Pikeville, KY 41501 Phone: 606-433-0033 Fax: 606-433-0990 | |
Big Sandy Public Health Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 River Dr, Pikeville, KY 41501 Phone: 606-437-5500 | |
Susan S. Altman, D.m.d. P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Town Mountain Rd, Suite 200, Pikeville, KY 41501 Phone: 606-437-4848 Fax: 606-437-4848 | |
Felicia White Dmd, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Mayo Cir Ste 100, Pikeville, KY 41501 Phone: 606-432-0187 | |
Big Sandy Dental Center Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Town Mountain Rd Ste 111, Pikeville, KY 41501 Phone: 606-509-8633 Fax: 606-509-8634 | |
Appalachian Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Town Mountain Rd Ste 201, Pikeville, KY 41501 Phone: 606-422-9176 Fax: 606-437-9886 | |
G Scott Smith Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Hibbard St, Pikeville, KY 41501 Phone: 606-432-2320 |