ORAL & MAXILLOFACIAL SURGERY PSC INC


Address: 2301 Lexington Ave, Ste 120, Ashland, KY 41101
Phone: 6063292219

ORAL & MAXILLOFACIAL SURGERY PSC INC (NPI# 1831292226) 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) 1831292226
Entity Type Organization
Organization Name ORAL & MAXILLOFACIAL SURGERY PSC INC
Practice Address 2301 Lexington Ave
Ste 120
Ashland
KY 41101
Practice Telephone 6063292219
Practice Fax Number 6063259997
Mailing Telephone 6063292219
Mailing Fax Number 6063259997
Enumeration Date 2006-09-07
Last Update Date 2020-08-22
Authorized Official Name DR. WINFIELD C JOHN III (PRESIDENT)
Authorized Official Telephone 6063292219
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
4340 KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 60043403 05

Office Location

Street Address 2301 LEXINGTON AVE
STE 120
City ASHLAND
State KY
Zip Code 41101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346242153 Henry C Goodman Psychiatry & Neurology 2301 Lexington Ave, Suite 300, Ashland, KY 41101-2873 2005-08-11
1740679562 Vinay Vermani, M.d. Inc Specialist 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 2015-01-16
1487051538 Tri-state Anesthesia Group Psc Anesthesiology 2301 Lexington Ave, Suite 100, Ashland, KY 41101-2873 2014-12-04
1679889166 Gregory L Moore Jr. Physician Assistant 2301 Lexington Ave, Suite 230, Ashland, KY 41101-2873 2010-08-23
1023347366 Malcolm H. King, Psc Family Medicine 2301 Lexington Ave, Suite 205, Ashland, KY 41101-2873 2009-12-16
1346412285 Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist Internal Medicine 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 2008-04-01
1417129354 Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist Internal Medicine 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 2008-04-01
1710158464 Winfield Clinton John IIi Dentist 2301 Lexington Ave, Suite 120, Ashland, KY 41101-2873 2008-03-20
1205024916 Tri-state Cardiology Associates Psc Internal Medicine 2301 Lexington Ave, Ste 320, Ashland, KY 41101 2007-10-09
1770779084 S Douglas Deitch Md Psc Specialist 2301 Lexington Ave, Suite 310, Ashland, KY 41101-2873 2007-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1306309067 Ccc Management, LLC Durable Medical Equipment & Medical Supplies 1237 Carter Ave, Ashland, KY 41101 2019-04-10
1366925505 Samantha Manci Pharmacist 2201 Lexington Ashland, Ashalnd, KY 41101 2018-09-13
1174068662 Lea Ann Reeves-gollihue Counselor 1701 Central Ave., Ste. 250, Ashland, KY 41101 2016-12-20
1245786078 Lindsay Marie Hagerman Respiratory Therapist, Registered 2413 Bradley Drive, Ashland, KY 41101 2016-08-31
1033572540 A Center 4 Change Psychologist 5900 Us 60 W, Suite B, Ashland, KY 41101 2016-04-01
1013301159 Precision Analysis Lab, LLC Clinical Medical Laboratory 101 17th Street, Ashland, KY 41101 2015-03-26
1639518574 Steven Wayne Ledford Jr. Dentist 2301 Lexington Ave Ste 120, Ashland, KY 41101 2013-06-24
1528405875 Brittani Kay Dingess Pediatrics 100 Ashland Dr, Ste 102, Ashland, KY 41101 2013-05-28
1770813487 Paula Jean Hogsten Clinical Nurse Specialist 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 2009-12-31
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
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 state

NPI Name Taxonomy Address Enumeration
1629554639 Wurth Oral, Facial and Cosmetic Surgery Clinic/Center 914 N Dixie Ave Ste 207, Elizabethtown, KY 42701-2520 2018-07-12
1528331642 Anderson Oral and Maxillofacial Surgery, P.s.c Clinic/Center 1675 S Main St, Laurel Medical Center, Lower Level, London, KY 40741-2050 2012-02-21
1629233622 David L. Wells II Dmd Md Pllc Clinic/Center 3080 Harrodsburg Rd, Suite 275, Lexington, KY 40503-2774 2008-07-19
1003099227 Tri-state Oral and Maxillofacial Surgery LLC Clinic/Center 2300 Conner Rd, Hebron, KY 41048 2007-12-11

Competitor

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City ASHLAND
Zip Code 41101

Improve Information

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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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