| Kentucky Center For Oral & Maxillofacial Surgery Psc | |
|
2424 Sir Barton Way Ste 375 Lexington KY 40509-2747 | |
| (589) 207-4790 | |
| (859) 340-1928 |
| Full Name | Kentucky Center For Oral & Maxillofacial Surgery Psc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2424 Sir Barton Way Ste 375, Lexington, Kentucky |
| Authorized Official Name and Position | Reda S. Vaughn (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8592789376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Center For Oral & Maxillofacial Surgery Psc 3159 Beaumont Centre Cir Ste 110 Lexington KY 40513-1968 Ph: (859) 278-9376 | Kentucky Center For Oral & Maxillofacial Surgery Psc 2424 Sir Barton Way Ste 375 Lexington KY 40509-2747 Ph: (589) 207-4790 |
| NPI Number | 1245882349 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245882349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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