KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PSC (NPI# 1053453043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053453043 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PSC |
| Practice Address |
3141 Beaumont Centre Cir Suite 103 Lexington KY 40513-1934 |
| Practice Telephone | 8592191913 |
| Practice Fax Number | 8592191317 |
| Mailing Telephone | 8592191913 |
| Mailing Fax Number | 8592191317 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | MS. REDA S VAUGHN (OFFICE MANAGER) |
| Authorized Official Telephone | 8592789376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100182480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740323633 | Kentucky Center for Oral & Maxillofacial Surgery, Psc | Oral & Maxillofacial Surgery | 4097 Atwood Drive, Richmond, KY 40475-2454 | 2007-02-14 |
| 1326180316 | Kentucky Center for Oral & Maxillofacial Surgery, Psc | Dentist | 105 Diagnostic Dr, Frankfort, KY 40601-6524 | 2007-02-13 |
| Street Address |
3141 BEAUMONT CENTRE CIR SUITE 103 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866102 | John R Cramer | Dentist | 3141 Beaumont Centre Cir, Ste 103, Lexington, KY 40513-1934 | 2005-10-26 |
| 1942667282 | Kyle Ashley Golibersuch | Dentist | 3141 Beaumont Centre Cir, Suite 300, Lexington, KY 40513-1960 | 2016-01-18 |
| 1427453711 | Arrow Dental Pllc | Dentist | 3141 Beaumont Centre Cir, Suite 200, Lexington, KY 40513-1960 | 2014-10-29 |
| 1881007334 | Katharine Bowen | Dentist | 3141 Beaumont Centre Cir, Lexington, KY 40513-1960 | 2014-06-03 |
| 1154685899 | Ryan J Golibersuch | Dentist | 3141 Beaumont Centre Cir, Suite 300, Lexington, KY 40513-1960 | 2012-06-27 |
| 1083757330 | Allison Stewart Wright | Dentist | 3141 Beaumont Centre Cir, Suite 101, Lexington, KY 40513-1960 | 2007-02-15 |
| 1285787051 | White, Greer and Maggard, Psc | Dentist | 3141 Beaumont Centre Cir, Suite 200, Lexington, KY 40513-1934 | 2007-01-18 |
| 1093866154 | Jackie L Banahan | Dentist | 3141 Beaumont Centre Cir, Suite 100, Lexington, KY 40513-1934 | 2007-01-16 |
| 1437177375 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 3141 Beaumont Centre Cir, Suite 103, Lexington, KY 40513-1934 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| 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 |
| 1801892047 | David L Wells II | Oral & Maxillofacial Surgery | 2250 Leestown Rd, Veterans Affairs Medical Center-ld Dept of Admin Med, Lexington, KY 40511 | 2005-06-22 |
| 1285942649 | Erena & Peterson, Pllc | Oral & Maxillofacial Surgery | 620 Perimeter Dr, Suite 100, Lexington, KY 40517-4125 | 2010-09-20 |
| 1902948987 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2007-02-13 |
| 1306929385 | University of Kentucky | Oral & Maxillofacial Surgery | 800 Rose St, Room D104, Lexington, KY 40536-0297 | 2006-10-23 |
| 1912937939 | Wayne Brian Colin | Oral & Maxillofacial Surgery | 1221 S Broadway, Lexington, KY 40504-2701 | 2006-07-04 |
| 1801893888 | Gregory R. Erena, P.s.c. | Oral & Maxillofacial Surgery | 620 Perimeter Dr, Ste 100, Lexington, KY 40517-4125 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750552733 | Romeo N. Laureano, D.m.d., P.s.c. | Oral & Maxillofacial Surgery | 120 W Stephen Foster Ave Ste 107, Bardstown, KY 40004-1457 | 2008-03-18 |
| 1831225465 | Jackson Ent Clinic, Psc | Oral & Maxillofacial Surgery | 1550 Highway 15 S Ste 29, Jackson, KY 41339-9221 | 2007-02-26 |
| 1295861524 | William R Anderson Dmd Psc | Oral & Maxillofacial Surgery | 972 Broadway Plaza, Paintsville, KY 41240 | 2007-02-23 |
| 1427145366 | C Michael Brinker | Oral & Maxillofacial Surgery | 8172 Mall Road, Suite 214, Florence, KY 41042 | 2006-10-10 |
| 1629081385 | Tariq A Sartawi | Oral & Maxillofacial Surgery | 1550 Hwy 15 South, Suite #29, Jackson, KY 41339-0768 | 2006-08-14 |
| 1922480250 | Commonwealth Oral and Maxillofacial Surgery, Psc | Oral & Maxillofacial Surgery | 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455 | 2015-06-23 |
| 1760706675 | Edyee M Sturgill, Dmd, Md | Oral & Maxillofacial Surgery | 895 Wilkinson Trce Ste B, Bowling Green, KY 42103-2486 | 2010-03-22 |
| 1912133620 | The Implant and Oral Surgery Center, LLC | Oral & Maxillofacial Surgery | 204 Bevins Ln, Suite F, Georgetown, KY 40324-6139 | 2009-06-09 |
| 1972782407 | East Louisville Oral Surgery and Dental Implants Plc | Oral & Maxillofacial Surgery | 300 Middletown Park Pl Ste A, Louisville, KY 40243-2541 | 2007-11-01 |
| 1720281538 | Matthew Pagnotto | Oral & Maxillofacial Surgery | 2300 Conner Rd, Hebron, KY 41048-8165 | 2007-06-08 |
| 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.