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Contact Information

KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
3159 BEAUMONT CENTRE CIRCLE
SUITE 110
LEXINGTON, KY40513-1934
 Phone: 859-278-9376
 Fax: 859-276-0260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY

NPI Number 1053453043
LBN Legal business name KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Authorized official REDA VAUGHN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 09/29/2022 - About 4 years ago
Identifiers
KY Medicaid 7100182480
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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