BENNIE B. ALDERDICE SR. (NPI# 1518973478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973478 |
| Entity Type | Individual |
| Full Name | BENNIE B. ALDERDICE SR. |
| Credential | D.M.D. |
| Practice Address |
100 Hardin Ln Suite B Somerset KY 42503-3812 |
| Practice Telephone | 6066798568 |
| Practice Fax Number | 6066760868 |
| Mailing Telephone | 6066798568 |
| Mailing Fax Number | 6066760868 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4939 | KY | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4939 | KY | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 4939 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS OF TN. | 0041586 | 01 |
| KY | ANTHEM BC/BS | 000000048337 | 01 |
| KY | UNITED HEALTHCARE MEDICAL | 4300039 | 01 |
| KY | UNITED HEALTHCARE DENTAL | 63437-1 | 01 |
| KY | PASSPORT | 5004539 | 01 |
| KY | 60049392 | 05 | |
| KY | 64049398 | 05 |
| Street Address |
100 HARDIN LN SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639600778 | Heather Pendery | Case Manager/Care Coordinator | 100 Hardin Ln, Suite C, Somerset, KY 42503-3812 | 2017-03-21 |
| 1902270523 | Scott Edward Green | Case Manager/Care Coordinator | 100 Hardin Ln, Suite 3, Somerset, KY 42503-3812 | 2015-11-19 |
| 1407298102 | Alderdice Oral and Maxillofacial Surgeons | Dentist | 100 Hardin Ln, Ste B, Somerset, KY 42503-3812 | 2013-07-23 |
| 1285706499 | William A. Caudill | Dentist | 100 Hardin Ln, Suite A, Somerset, KY 42503-3812 | 2006-11-14 |
| 1639241854 | William A. Caudill, Dmd, Psc | Clinic/Center | 100 Hardin Ln, Suite A, Somerset, KY 42503-3812 | 2006-11-14 |
| 1225122294 | Commonwealth Urology Somerset | Urology | 100 Hardin Ln, Somerset, KY 42503-3812 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457847691 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2521 | 2018-07-10 |
| 1750552733 | Romeo N. Laureano, D.m.d., P.s.c. | Oral & Maxillofacial Surgery | 120 W Stephen Foster Ave Ste 107, Bardstown, KY 40004-1457 | 2008-03-18 |
| 1831225465 | Jackson Ent Clinic, Psc | Oral & Maxillofacial Surgery | 1550 Highway 15 S Ste 29, Jackson, KY 41339-9221 | 2007-02-26 |
| 1295861524 | William R Anderson Dmd Psc | Oral & Maxillofacial Surgery | 972 Broadway Plaza, Paintsville, KY 41240 | 2007-02-23 |
| 1427145366 | C Michael Brinker | Oral & Maxillofacial Surgery | 8172 Mall Road, Suite 214, Florence, KY 41042 | 2006-10-10 |
| 1629081385 | Tariq A Sartawi | Oral & Maxillofacial Surgery | 1550 Hwy 15 South, Suite #29, Jackson, KY 41339-0768 | 2006-08-14 |
| 1801892047 | David L Wells II | Oral & Maxillofacial Surgery | 2250 Leestown Rd, Veterans Affairs Medical Center-ld Dept of Admin Med, Lexington, KY 40511 | 2005-06-22 |
| 1922480250 | Commonwealth Oral and Maxillofacial Surgery, Psc | Oral & Maxillofacial Surgery | 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455 | 2015-06-23 |
| 1285942649 | Erena & Peterson, Pllc | Oral & Maxillofacial Surgery | 620 Perimeter Dr, Suite 100, Lexington, KY 40517-4125 | 2010-09-20 |
| 1760706675 | Edyee M Sturgill, Dmd, Md | Oral & Maxillofacial Surgery | 895 Wilkinson Trce Ste B, Bowling Green, KY 42103-2486 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.