THE IMPLANT AND ORAL SURGERY CENTER, LLC (NPI# 1912133620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912133620 |
Entity Type | Organization |
Organization Name | THE IMPLANT AND ORAL SURGERY CENTER, LLC |
Practice Address |
204 Bevins Ln Suite F Georgetown KY 40324-6139 |
Practice Telephone | 5028631402 |
Practice Fax Number | 5028631405 |
Mailing Telephone | 5028631402 |
Mailing Fax Number | 5028631405 |
Enumeration Date | 2009-06-09 |
Last Update Date | 2009-06-23 |
Authorized Official Name | DR. DONALD R. MCLAURIN (ORAL SURGEON) |
Authorized Official Telephone | 8594986204 |
Authorized Official Credential | DMD, MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
204 BEVINS LN SUITE F |
City | GEORGETOWN |
State | KY |
Zip Code | 40324-6139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336306737 | Ray A Huff | Clinic/Center | 204 Bevins Ln, Suite C, Georgetown, KY 40324-6139 | 2008-05-22 |
1568769453 | Trinity Massage Therapy & Healing Arts LLC | Massage Therapist | 204 Bevins Ln, Suite D, Georgetown, KY 40324-6139 | 2011-02-11 |
1912203837 | Marilyn Elizabeth Burke | Massage Therapist | 204 Bevins Ln, Suite D, Georgetown, KY 40324-6139 | 2011-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
Find all providers in zip 40324 |
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 |
---|---|---|---|---|
1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
1619317039 | Brittany Ky Eidson | Dentist | 4029 Mercer Rd, Georgetown, TX 78628-2141 | 2013-06-29 |
1811090004 | Grant K Nakashima | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
1083671507 | William F Rinehart | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2006-04-27 |
1386617835 | Gregory N Burroughs | Dentist | 3622 Williams Dr, Building 1, Georgetown, TX 78628-2420 | 2006-02-07 |
1609000272 | Georgetown Oral and Facial Surgery, LLC | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2009-05-11 |
1629251624 | Jeremy D Leland | Dentist | 3622 Williams Dr, Bldg 1, Georgetown, TX 78628-2415 | 2007-12-12 |
1942482807 | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2007-12-03 |
1700931987 | South Strand Oral & Maxillofacial Surgery | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2007-01-25 |
1932202124 | Michaelanne E Briggs | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 40324 |
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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.