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ORAL SURGERY GROUP OF MIDDLETOWN PLLC NPI 1497070148


NPI Information

NPI: 1497070148
Provider Name: ORAL SURGERY GROUP OF MIDDLETOWN, PLLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
134 EVERGREEN RD
MIDDLETOWN, KY
ZIP 40243
Phone: (502) 410-1702
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ORAL SURGERY GROUP OF MIDDLETOWN, PLLC is an oral and maxillofacial surgery clinic center in Middletown, KY. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ORAL SURGERY GROUP OF MIDDLETOWN, PLLC NPI is 1497070148. The provider is registered as an organization entity type.

The provider's business location address is:

134 EVERGREEN RD
MIDDLETOWN, KY
ZIP 40243-487
Phone: (502) 410-1702

The provider's authorized official is Kathie Armstrong .
The authorized official title is Director Of Credentialing and has the following contact phone number (502) 854-8501.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 7/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
3261QS0112XClinic/CenterOral and Maxillofacial Surgery7229KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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