TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC (NPI# 1003099227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003099227 |
Entity Type | Organization |
Organization Name | TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC |
Practice Address |
2300 Conner Rd Hebron KY 41048 |
Practice Telephone | 8595864825 |
Practice Fax Number | 8595864817 |
Mailing Telephone | 8595864825 |
Mailing Fax Number | 8595864817 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |
Authorized Official Name | DR. RODNEY CHRISTOPHER STIGALL (MEMBER) |
Authorized Official Telephone | 8595864825 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
803 | KY | Ambulatory Health Care Facilities |
Street Address |
2300 CONNER RD |
City | HEBRON |
State | KY |
Zip Code | 41048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558574756 | Rodney Christopher Stigall | Dentist | 2300 Conner Rd, Hebron, KY 41048 | 2007-05-07 |
1720281538 | Matthew Pagnotto | Oral & Maxillofacial Surgery | 2300 Conner Rd, Hebron, KY 41048-8165 | 2007-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518062389 | Tristin R Thompson | Chiropractor | 2950 Hebron Park Drive, Suite E, Hebron, KY 41048 | 2006-09-14 |
1306897822 | Kenton County Airport Board | Ambulance | 81 Clay Drive, Hebron, KY 41048 | 2006-05-12 |
1467416628 | John Joseph Castaneda | Family Medicine | 2093 Medical Arts Drive, Hebron, KY 41048 | 2006-04-14 |
1659332526 | Gina Battaglia Grove | Family Medicine | 2093 Medical Arts Dr, 1st Floor, Hebron, KY 41048 | 2006-03-30 |
1902803901 | Kathy Jo Noyes | Nurse Practitioner | 1503 Jolee Drive, Hebron, KY 41048 | 2005-07-05 |
1447795299 | Community First Health, LLC. | Clinic/Center | 2091 N Bend Rd, Unit 100, Hebron, KY 41048 | 2017-01-04 |
1700261088 | Paul Eric Haskell | Massage Therapist | 2030 Northside Dr, Hebron Chiropractic - #unit C, Hebron, KY 41048 | 2015-07-28 |
1053370791 | Michael Kevin Dragan | Family Medicine | 1980 Litton Ln, Hebron, KY 41048 | 2006-03-21 |
1457967978 | Suzanne Perkins | Nurse Practitioner | 1988 Montpelier Dr, Hebron, KY 41048-1101 | 2020-09-21 |
1871858456 | Epoch Wellness LLC | Clinical Exercise Physiologist | 1759 Elmburn Ln, Hebron, KY 41048-6712 | 2012-07-10 |
Find all providers in zip 41048 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629554639 | Wurth Oral, Facial and Cosmetic Surgery | Clinic/Center | 914 N Dixie Ave Ste 207, Elizabethtown, KY 42701-2520 | 2018-07-12 |
1528331642 | Anderson Oral and Maxillofacial Surgery, P.s.c | Clinic/Center | 1675 S Main St, Laurel Medical Center, Lower Level, London, KY 40741-2050 | 2012-02-21 |
1629233622 | David L. Wells II Dmd Md Pllc | Clinic/Center | 3080 Harrodsburg Rd, Suite 275, Lexington, KY 40503-2774 | 2008-07-19 |
1831292226 | Oral & Maxillofacial Surgery Psc Inc | Clinic/Center | 2301 Lexington Ave, Ste 120, Ashland, KY 41101 | 2006-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.