| The Implant And Oral Surgery Center, Llc | |
|
204 Bevins Ln Suite F Georgetown KY 40324-6139 | |
| (502) 863-1402 | |
| (502) 863-1405 |
| Full Name | The Implant And Oral Surgery Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 204 Bevins Ln, Georgetown, Kentucky |
| Authorized Official Name and Position | Donald R. Mclaurin (ORAL SURGEON) |
| Authorized Official Contact | 8594986204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Implant And Oral Surgery Center, Llc 204 Bevins Ln Suite F Georgetown KY 40324-6139 Ph: (502) 863-1402 | The Implant And Oral Surgery Center, Llc 204 Bevins Ln Suite F Georgetown KY 40324-6139 Ph: (502) 863-1402 |
| NPI Number | 1912133620 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912133620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
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