Tri-State Oral and Maxillofacial Surgery LLC

NPI #1003099227 in Hebron, Kentucky

Provider Information

NPI Number
1003099227
Entity Type
Organization
Organization Name
Tri-State Oral and Maxillofacial Surgery LLC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Dec 11, 2007
Last Updated
Dec 11, 2007

Practice Location

Address
2300 CONNER RD
City
Hebron
ZIP Code
41048
Phone
(859) 586-4825

Authorized Official

Name
DR. RODNEY CHRISTOPHER STIGALL, DMD
Title
MEMBER
Phone
(859) 586-4825

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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