Kentucky Center for Oral & Maxillofacial Surgery Psc

NPI #1437177375 in Lexington, Kentucky

Provider Information

NPI Number
1437177375
Entity Type
Organization
Organization Name
Kentucky Center for Oral & Maxillofacial Surgery Psc
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 18, 2006
Last Updated
Sep 29, 2022

Practice Location

Address
3159 BEAUMONT CENTRE CIR STE 110
ZIP Code
40513-1968
Phone
(859) 278-9376

Authorized Official

Name
REDA VAUGHN
Title
OFFICE MANAGER
Phone
(859) 278-9376

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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