KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC


Address: 105 Diagnostic Dr, Frankfort, KY 40601-6524
Phone: 5028754608

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY EPSDT MEDICAID 7100182740 01
KY 7100182850 05

Other Provider IDs and Locations

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

Office Location

Street Address 105 DIAGNOSTIC DR
City FRANKFORT
State KY
Zip Code 40601-6524

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City FRANKFORT
Zip Code 40601

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Dataset Information

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.

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