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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2424 SIR BARTON WAY STE 375 |
City | LEXINGTON |
State | KY |
Zip Code | 40509-2521 |
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 |
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 | 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 |
---|---|---|---|---|
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 |
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 |
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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.