KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC (NPI# 1679527865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679527865 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC |
| Practice Address |
2533 Larkin Rd Ste 101 Lexington KY 40503-3278 |
| Practice Telephone | 8592789376 |
| Practice Fax Number | 8592760260 |
| Mailing Telephone | 8592789376 |
| Mailing Fax Number | 8592760260 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | REDA S VAUGHN (ADMINISTRATOR) |
| Authorized Official Telephone | 8594751147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100182880 | 05 |
| 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 |
| 1457379307 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 4097 Atwood Drive, Richmond, KY 40475-2454 | 2006-07-18 |
| 1245882349 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2747 | 2019-07-10 |
| 1902948987 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2007-02-13 |
| 1437177375 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 3141 Beaumont Centre Cir, Suite 103, Lexington, KY 40513-1934 | 2006-07-18 |
| 1023036480 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 105 Diagnostic Dr, Frankfort, KY 40601-6524 | 2006-07-17 |
| Street Address |
2533 LARKIN RD STE 101 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932525136 | Kelsey Denise Menegotto | Dentist | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2014-03-12 |
| 1447572086 | Leigh Ann Chalothorn | Dentist | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2010-02-24 |
| 1528221975 | Atul M Deshmukh | Dentist | 2533 Larkin Rd, The Kentucky Center for Oral and Maxillofacial Surgery, Lexington, KY 40503-3278 | 2008-07-07 |
| 1467622449 | Jason Edward Ford | Dentist | 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 | 2008-03-06 |
| 1093935843 | Drs. Knight and Wahle Orthodontics | Dentist | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2007-04-26 |
| 1902948987 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2007-02-13 |
| 1902825003 | Donald P Max | Dentist | 2533 Larkin Rd, Lexington, KY 40503-3278 | 2006-07-19 |
| 1225056765 | Kenneth J Bondra | Dentist | 2533 Larkin Rd, Ste 101, Lexington, KY 40503-3278 | 2006-07-17 |
| 1215962394 | Robert S. Clark | Dentist | 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 | 2006-07-11 |
| 1740237064 | Bruce R Nicol | Dentist | 2533 Larkin Rd, Suite 204, Lexington, KY 40503-3278 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1326400789 | Corey Alan Taylor | Dentist | 800 Rose St # D-538, Lexington, KY 40536-7001 | 2016-03-24 |
| 1689060808 | Brandyn Herman | Dentist | Uk Dentistry At Turfland, 2195 Harrodsburg Rd, Ste 175, Lexington, KY 40536 | 2015-04-14 |
| 1619243268 | William J Curtis | Dentist | 800 Rose St Rm D508, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2012-03-28 |
| 1053541219 | Andrew William Ray | Dentist | 2421 Gooseberry Cir, Lexington, KY 40509-8567 | 2009-07-22 |
| 1952557852 | Ali Ebrahim Mohammad | Dentist | 800 Rose St Rm D-508, Lexington, KY 40536 | 2008-08-11 |
| 1346403235 | David Peter Schmidt | Dentist | Division of Oral and Maxillofacial Surgery, College of Dentistry, Lexington, KY 40536-0001 | 2008-07-09 |
| 1205955168 | Associates In Oral & Maxillofacial Surgery, Pa | Dentist | 307 Columbia Ave, Lexington, SC 29072-2613 | 2007-03-29 |
| 1336157098 | Nick Samuel Morrow | Dentist | 216 Fountain Ct Ste 110, Lexington, KY 40509-1888 | 2006-08-04 |
| 1437177722 | William Scott Jenkins | Dentist | 216 Fountain Ct, Suite 110, Lexington, KY 40509-1888 | 2006-07-17 |
| Find all providers in LEXINGTON | ||||
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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.