DRS KRAJEKIAN,BROCK & HENDERSON INC (NPI# 1003388117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003388117 |
| Entity Type | Organization |
| Organization Name | DRS KRAJEKIAN,BROCK & HENDERSON INC |
| Practice Address |
2301 Lexington Ave Ste 120 Ashland KY 41101-2807 |
| Mailing Address |
103 Station Place Way Hurricane WV 25526-8747 |
| Practice Telephone | 3043991092 |
| Mailing Telephone | 3047207819 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | LESLEY MARIE COYNER (CREDENTIALING) |
| Authorized Official Telephone | 3043451092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mt State Oral & Facial Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1992766737 | Drs Krajekian,brock & Henderson Inc | Dentist | 100a Prestige Park Dr, Hurricane, WV 25526 | 2006-03-31 |
| 1801435003 | Drs Krajekian,brock & Henderson Inc | Dentist | 220 Locust St, Princeton, WV 24740-3626 | 2020-01-06 |
| 1447711858 | Drs Krajekian,brock & Henderson Inc | Dentist | 4307 Maccorkle Ave Se, Charleston, WV 25304-2500 | 2019-03-28 |
| 1235546813 | Drs Krajekian,brock & Henderson Inc | Dentist | 150 Brookshire Ln, Beckley, WV 25801 | 2014-07-16 |
| Street Address |
2301 LEXINGTON AVE STE 120 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1437258365 | Michael D. Couchot | Dentist | 2844 Carter Ave, Ashland, KY 41101-1917 | 2006-09-21 |
| 1588668123 | William C Donlon | Dentist | 452 Thimbleberry Ln, Ashland, OR 97520-1213 | 2005-06-10 |
| 1710158464 | Winfield Clinton John IIi | Dentist | 2301 Lexington Ave, Suite 120, Ashland, KY 41101-2873 | 2008-03-20 |
| 1013068691 | Northern Oral & Maxillofacial Surgeons, Pa | Dentist | 1419 Beaser Ave, Ashland, WI 54806-3616 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1023510518 | Ralph M. Green Medical Pllc | Dentist | 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 | 2018-03-01 |
| 1982058590 | Heine, Heine and Bowles, Pllc | Dentist | 2850 Lone Oak Rd Ste 5, Paducah, KY 42003-8043 | 2016-04-20 |
| 1326400789 | Corey Alan Taylor | Dentist | 800 Rose St # D-538, Lexington, KY 40536-7001 | 2016-03-24 |
| 1689060808 | Brandyn Herman | Dentist | Uk Dentistry At Turfland, 2195 Harrodsburg Rd, Ste 175, Lexington, KY 40536 | 2015-04-14 |
| 1619243268 | William J Curtis | Dentist | 800 Rose St Rm D508, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2012-03-28 |
| 1558651554 | Robbie James Harris IIi | Dentist | 4975 Alben Barkley Dr Ste 4, Paducah, KY 42001-6722 | 2011-04-11 |
| 1053541219 | Andrew William Ray | Dentist | 2421 Gooseberry Cir, Lexington, KY 40509-8567 | 2009-07-22 |
| 1407096639 | Charles William Langford Jr. | Dentist | 445 Stableford Cir, Owensboro, KY 42303-7771 | 2009-02-27 |
| 1477707784 | Nuckols & Cohron, P.s.c. | Dentist | 627 Eastwood St, Bowling Green, KY 42103-1688 | 2008-11-13 |
| Find all providers with the same taxonomy | ||||
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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.