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Oral & Facial Surgery Center Of Ky Pllc
Oral and Maxillofacial Surgery (Dentist) in Elizabethtown, Kentucky
NPI 1295914471

Oral & Facial Surgery Center Of Ky Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Elizabethtown, KY and is specialized in Oral and Maxillofacial Surgery. Oral & Facial Surgery Center Of Ky Pllc practices in Elizabethtown, KY. The NPI Number for Oral & Facial Surgery Center Of Ky Pllc is 1295914471 and holds a License No. 35220 (Kentucky).

The current practice location address for Oral & Facial Surgery Center Of Ky Pllc is 1105 Mary T Meagher Rd, Elizabethtown, KY and can be reached out via phone at 270-737-0586 and via fax at 270-737-2949.

Location: 1105 Mary T Meagher Rd, Elizabethtown, KY, 42701-7990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295914471
Provider Name
Oral & Facial Surgery Center Of Ky Pllc
Credential
Provider Entity Type
Organization
Address
1105 Mary T Meagher Rd, Elizabethtown, KY, 42701-7990
Phone Number
270-737-0586
Fax Number
270-737-2949
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7497 01 MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1105 Mary T Meagher Rd
City
Elizabethtown
State
Kentucky
Zip
42701-7990
Phone Number
270-737-0586
Fax Number
270-737-2949
person
Provider Business Mailing Address Details
Address
1105 Mary T Meagher Rd
City
Elizabethtown
State
Kentucky
Zip
42701-7990
Phone Number
270-737-0586
Fax Number
270-737-2949
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
35220 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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