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Green River Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Henderson, Kentucky
NPI 1750638334

Green River Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Henderson, KY and is specialized in Oral and Maxillofacial Surgery. Green River Oral Surgery practices in Henderson, KY. The NPI Number for Green River Oral Surgery is 1750638334 and holds a License No. 7298 (Kentucky).

The current practice location address for Green River Oral Surgery is 801 N Elm St, Henderson, KY and can be reached out via phone at 270-212-0330 and via fax at 270-212-0332.

Location: 801 N Elm St, Henderson, KY, 42420-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750638334
Provider Name
Green River Oral Surgery
Credential
Provider Entity Type
Organization
Address
801 N Elm St, Henderson, KY, 42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64063514 05 KY
institution
Provider Business Practice Location Address Details
Address
801 N Elm St
City
Henderson
State
Kentucky
Zip
42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
person
Provider Business Mailing Address Details
Address
801 N Elm St
City
Henderson
State
Kentucky
Zip
42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7298 (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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