| Oral & Facial Surgery Center Of Ky Pllc | |
|
1105 Mary T Meagher Rd Elizabethtown KY 42701-7990 | |
| (270) 737-0586 | |
| (270) 737-2949 |
| Full Name | Oral & Facial Surgery Center Of Ky Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1105 Mary T Meagher Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | James Kevin Hargan (DOCTOR / OWNER) |
| Authorized Official Contact | 2707370586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Center Of Ky Pllc 1105 Mary T Meagher Rd Elizabethtown KY 42701-7990 Ph: (270) 737-0586 | Oral & Facial Surgery Center Of Ky Pllc 1105 Mary T Meagher Rd Elizabethtown KY 42701-7990 Ph: (270) 737-0586 |
| NPI Number | 1295914471 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295914471 | NPI | - | NPPES |
| 7497 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 35220 (Kentucky) | Primary |
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