KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC (NPI# 1023036480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023036480 |
Entity Type | Organization |
Organization Name | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC |
Practice Address |
105 Diagnostic Dr Frankfort KY 40601-6524 |
Practice Telephone | 5028754608 |
Practice Fax Number | 5028750013 |
Mailing Telephone | 5028754608 |
Mailing Fax Number | 5028750013 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2012-01-11 |
Authorized Official Name | MRS. REDA S VAUGHN (OFFICE MANAGER) |
Authorized Official Telephone | 8592789376 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | EPSDT MEDICAID | 7100182740 | 01 |
KY | 7100182850 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457847691 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2521 | 2018-07-10 |
1457379307 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 4097 Atwood Drive, Richmond, KY 40475-2454 | 2006-07-18 |
1679527865 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 2533 Larkin Rd, Ste 101, Lexington, KY 40503-3278 | 2006-05-20 |
1245882349 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2747 | 2019-07-10 |
1902948987 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2007-02-13 |
1437177375 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 3141 Beaumont Centre Cir, Suite 103, Lexington, KY 40513-1934 | 2006-07-18 |
Street Address |
105 DIAGNOSTIC DR |
City | FRANKFORT |
State | KY |
Zip Code | 40601-6524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639449481 | John Dakota Thacker | Counselor | 105 Diagnostic Dr, Suite B, Frankfort, KY 40601-6559 | 2012-01-11 |
1225489610 | Nathan D Nitz, Dmd Pllc | Clinic/Center | 105 Diagnostic Dr, Suite A, Frankfort, KY 40601-6559 | 2016-06-27 |
1720491681 | Nathan David Nitz | Dentist | 105 Diagnostic Dr, Frankfort, KY 40601-6559 | 2014-06-09 |
1326180316 | Kentucky Center for Oral & Maxillofacial Surgery, Psc | Dentist | 105 Diagnostic Dr, Frankfort, KY 40601-6524 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
Find all providers in zip 40601 |
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 |
---|---|---|---|---|
1518191295 | Powell and Martello P.C. | Dentist | 10241 W Lincoln Hwy, Frankfort, IL 60423-1279 | 2009-05-08 |
1396995783 | Midland Oral Surgery and Implant Centers, Ltd | Dentist | 10097 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2008-09-23 |
1932475100 | Allen Fred Goldberg | Dentist | 22406 Mallow Dr, Frankfort, IL 60423-8493 | 2012-03-31 |
1568768224 | Oral Surgery Group of Frankfort, Pllc | Dentist | 103 C Michael Davenport Blvd, Frankfort, KY 40601-4491 | 2011-01-28 |
1982777652 | Chirag Desai | Dentist | 340 West Lincoln Hwy, Frankfort, IL 60423 | 2006-11-17 |
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.