Oral Surgery Group of Middletown, Pllc

NPI #1497070148 in Middletown, Kentucky

Provider Information

NPI Number
1497070148
Entity Type
Organization
Organization Name
Oral Surgery Group of Middletown, Pllc
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Apr 6, 2010
Last Updated
Jul 1, 2013

Practice Location

Address
134 EVERGREEN RD
ZIP Code
40243-1487
Phone
(502) 410-1702

Authorized Official

Name
KATHIE ARMSTRONG
Title
DIRECTOR OF CREDENTIALING
Phone
(502) 854-8501

Specialties & Taxonomy Codes

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

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