East Kentucky Oral & Maxillofacial Surgery, Psc

NPI #1962414680 in Pikeville, Kentucky

Provider Information

NPI Number: 1962414680
Entity Type: Organization
Organization Name: East Kentucky Oral & Maxillofacial Surgery, Psc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Aug 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 387 TOWN MOUNTAIN RD
City: Pikeville
State: Kentucky
ZIP Code: 41501-1640
Phone: (606) 432-5983

Authorized Official

Name: MR. CHAD CLIFTON STREET, DMD, MD
Title: OWNER
Phone: (606) 432-5983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Individual Providers

Provider Name	Specialty	City
Chad Clifton Street, DMD, MD	Dentist - Oral and Maxillofacial Surgery	Pikeville	AI Deep Dive
Gregory R Erena, DMD	Dentist - Oral and Maxillofacial Surgery	Lexington	AI Deep Dive
Richard A Pape, DMD MS	Dentist - Oral and Maxillofacial Surgery	Louisville	AI Deep Dive

Organizations

Provider Name	Specialty	City
Gregory R. Erena, P.s.c.	Dentist - Oral and Maxillofacial Surgery	Lexington	AI Deep Dive
Greater Louisville Oral and Maxillofacial Surgery Associates, Psc	Dentist - Oral and Maxillofacial Surgery	Louisville	AI Deep Dive

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