KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC (NPI# 1245882349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245882349 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC |
| Practice Address |
2424 Sir Barton Way Ste 375 Lexington KY 40509-2747 |
| Mailing Address |
2533 Larkin Rd Ste 101 Lexington KY 40503-3278 |
| Practice Telephone | 5892074790 |
| Practice Fax Number | 8593401928 |
| Mailing Telephone | 8592789376 |
| Mailing Fax Number | 8592760260 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MISS REDA S. VAUGHN (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 8592789376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| 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 |
| 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 |
| 1023036480 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 105 Diagnostic Dr, Frankfort, KY 40601-6524 | 2006-07-17 |
| Street Address |
2424 SIR BARTON WAY STE 375 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2747 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| 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 |
|---|---|---|---|---|
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 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 |
| 1053541219 | Andrew William Ray | Dentist | 2421 Gooseberry Cir, Lexington, KY 40509-8567 | 2009-07-22 |
| 1952557852 | Ali Ebrahim Mohammad | Dentist | 800 Rose St Rm D-508, Lexington, KY 40536 | 2008-08-11 |
| 1346403235 | David Peter Schmidt | Dentist | Division of Oral and Maxillofacial Surgery, College of Dentistry, Lexington, KY 40536-0001 | 2008-07-09 |
| 1205955168 | Associates In Oral & Maxillofacial Surgery, Pa | Dentist | 307 Columbia Ave, Lexington, SC 29072-2613 | 2007-03-29 |
| 1336157098 | Nick Samuel Morrow | Dentist | 216 Fountain Ct Ste 110, Lexington, KY 40509-1888 | 2006-08-04 |
| 1437177722 | William Scott Jenkins | Dentist | 216 Fountain Ct, Suite 110, Lexington, KY 40509-1888 | 2006-07-17 |
| Find all providers in LEXINGTON | ||||
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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.