COMMONWEALTH ORAL AND MAXILLOFACIAL SURGERY, PSC


Address: 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455
Phone: 5024237822

COMMONWEALTH ORAL AND MAXILLOFACIAL SURGERY, PSC (NPI# 1922480250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922480250
Entity Type Organization
Organization Name COMMONWEALTH ORAL AND MAXILLOFACIAL SURGERY, PSC
Other Organization Name COMMONWEALTH ORAL SURGERY
Practice Address 6520 Glenridge Park Pl
Suite 7
Louisville
KY 40222-3455
Practice Telephone 5024237822
Practice Fax Number 5024237830
Mailing Telephone 5024237822
Mailing Fax Number 5024237830
Enumeration Date 2015-06-23
Last Update Date 2015-06-23
Authorized Official Name DR. TIMOTHY ACORD (OWNER, PRESIDENT)
Authorized Official Telephone 5024237822
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204E00000X Oral & Maxillofacial Surgery 8588 KY Allopathic & Osteopathic Physicians
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
8588 KY Dental Providers

Other Provider/Organization Names

Other Name Type Code
Commonwealth Oral Surgery Doing Business As Name - Organization

Office Location

Street Address 6520 GLENRIDGE PARK PL
SUITE 7
City LOUISVILLE
State KY
Zip Code 40222-3455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285731836 Steven W Cherry Dentist 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3453 2006-09-17
1285910109 East End Psychological Associates Psychologist 6520 Glenridge Park Pl, Suite #1, Louisville, KY 40222-3453 2011-10-24
1720370281 Linebarger Wellness Pllc Psychologist 6520 Glenridge Park Pl, Suite One, Louisville, KY 40222-3453 2011-05-03
1124320296 Amy B. Greenamyer, Phd, Pllc Psychologist 6520 Glenridge Park Pl, Suite 1, Louisville, KY 40222-3453 2010-11-23
1982925020 Timshel, LLC Social Worker 6520 Glenridge Park Pl, Suite 1, Louisville, KY 40222-3453 2010-06-11
1023244027 Brighid Malloy Kleinman Psychologist 6520 Glenridge Park Pl, Suite 1, Louisville, KY 40222-3453 2009-06-03
1336397207 Heather Bass Psychologist 6520 Glenridge Park Pl, Suite 1, Louisville, KY 40222-3453 2008-09-04
1538350905 Leslie Sugel Hirsch Social Worker 6520 Glenridge Park Pl, Suite One, Louisville, KY 40222-3453 2007-08-09
1205965670 Daniel Tod Wolverton Psychologist 6520 Glenridge Park Pl, Ste 3, Louisville, KY 40222-3453 2007-03-03
1194850875 Timothy Scott Acord Dentist 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455 2007-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740881507 Lucas Counseling and Consulting Counselor 8134 New Lagrange Road Suite 100, Louisville, KY 40222 2020-11-06
1700424157 Hope4hearts Counseling LLC Community/Behavioral Health 7321 New Lagrange Road, Louisville, KY 40222 2019-12-17
1982162509 Sydney Sleadd Massage Therapist 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 2019-03-04
1205390127 Rebecca A Street Marriage & Family Therapist 8134 New La Grange Rd Ste 227, Louisville, KY 40222 2019-01-24
1689176166 Andrew Pennington Social Worker 1015 Dorsey Ln., Louisville, KY 40222 2018-03-01
1578085957 Megan Lusco Case Manager/Care Coordinator 312 Whittington Parkway, Suite 020, Louisville, KY 40222 2017-07-07
1083149868 Kate Oliver Ray Optometrist 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 2017-04-28
1578094736 Jacqueline Ward Speech-Language Pathologist 910 Fenley Avenue, Louisville, KY 40222 2017-03-21
1295195907 Carol Massey Psychologist 7400 Newlagrange Roed, 308, Louisville, KY 40222 2016-02-24
1588047260 Melissa Cosby Case Manager/Care Coordinator 312 Whittington Parkway Suite 020, Louisville, KY 40222 2015-06-30
Find all providers in zip 40222

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023510518 Ralph M. Green Medical Pllc Dentist 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 2018-03-01
1922361062 Alan Reisman, Dds, PC Dentist 1075 S Boulder Rd Ste 135, Louisville, CO 80027-2559 2012-06-22
1245481175 Joseph H. Cieslak Dds, Pllc Dentist 6501 Dixie Hwy, Louisville, KY 40258-3907 2008-10-09
1033372057 Lawrence Sivori II Dentist 3101 Breckenridge Ln Ste 2d, Louisville, KY 40220-2742 2008-07-09
1790944106 David Naselsker Dentist 3421 Hycliffe Ave, Louisville, KY 40207-3659 2008-06-02
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1730382722 Lewis C. Jones Dentist 401 E Chestnut St Unit 550, Louisville, KY 40202-5705 2007-06-07
1104982016 Mark D. Miller Dentist 1211 W Broadway Unit 106, Louisville, KY 40203-2082 2006-12-28
1285709865 David T Dodd Dentist 4122 Shelbyville Rd Ste 120, Louisville, KY 40207-3206 2006-11-21
1306933387 Alan Jon Reisman Dentist 1075 E South Boulder Rd, Suite 230, Louisville, CO 80027-2560 2006-10-09
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40222

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Dataset Information

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.

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