KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC


Address: 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2521
Phone: 8592074790

KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC (NPI# 1457847691) 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) 1457847691
Entity Type Organization
Organization Name KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC
Practice Address 2424 Sir Barton Way Ste 375
Lexington
KY 40509-2521
Mailing Address 2533 Larkin Rd
Lexington
KY 40503-3278
Practice Telephone 8592074790
Mailing Telephone 8592789376
Enumeration Date 2018-07-10
Last Update Date 2018-07-10
Authorized Official Name REDA S. VAUGHN (OFFICE MANAGER)
Authorized Official Telephone 8592789376
Is Organization Subpart Y
Parent Organization Name KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1023036480 Kentucky Center for Oral & Maxillofacial Surgery Psc Dentist 105 Diagnostic Dr, Frankfort, KY 40601-6524 2006-07-17

Office Location

Street Address 2424 SIR BARTON WAY STE 375
City LEXINGTON
State KY
Zip Code 40509-2521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245882349 Kentucky Center for Oral & Maxillofacial Surgery Psc Dentist 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2747 2019-07-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1053453043 Kentucky Center for Oral & Maxillofacial Surgery, Psc Oral & Maxillofacial Surgery 3141 Beaumont Centre Cir, Suite 103, Lexington, KY 40513-1934 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

Providers in the same taxonomy and state

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

Competitor

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City LEXINGTON
Zip Code 40509

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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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