East Kentucky Oral & Maxillofacial Surgery, Psc in Pikeville - Oral And Maxillofacial Surgery
East Kentucky Oral & Maxillofacial Surgery, Psc - NPI 1962414680
East Kentucky Oral & Maxillofacial Surgery, Psc is a Oral And Maxillofacial Surgery in Pikeville, Kentucky. East Kentucky Oral & Maxillofacial Surgery, Psc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for East Kentucky Oral & Maxillofacial Surgery, Psc is 1962414680. The last update date is 2020-08-22.
East Kentucky Oral & Maxillofacial Surgery, Psc's current location address is Po Box 2069, Pikeville, Kentucky. You can contact this provider via phone number 6064325983 and fax number 6064329474. The mailing address for East Kentucky Oral & Maxillofacial Surgery, Psc is Po Box 2069, Pikeville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Kentucky Oral & Maxillofacial Surgery, Psc |
|---|---|
| Address | Po Box 2069, Pikeville, Kentucky |
| Phone Number | 6064325983 |
| Fax Number | 6064329474 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Street Clifton Chad |
| Credentials | DMD, MD |
| Telephone Number | 6064325983 |
NPI Number Detail
| NPI Number | 1962414680 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2069 |
|---|---|
| City | Pikeville |
| State | Kentucky (KY) |
| Post Code | 415022069 |
| Phone Number | 6064325983 |
| Fax Number | 6064329474 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 7103 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60002300 | KY | -- | |
| 64068414 | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to East Kentucky Oral & Maxillofacial Surgery, Psc by the Centers for Medicare & Medicaid Services?
The East Kentucky Oral & Maxillofacial Surgery, Psc has been assigned the NPI (National Provider Identifier) 1962414680 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of East Kentucky Oral & Maxillofacial Surgery, Psc?
The East Kentucky Oral & Maxillofacial Surgery, Psc is situated at Po Box 2069, in the city of Pikeville, state of KY, with the zip code 415022069.
What is East Kentucky Oral & Maxillofacial Surgery, Psc's area of expertise and its corresponding taxonomy classification?
The East Kentucky Oral & Maxillofacial Surgery, Psc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When was the East Kentucky Oral & Maxillofacial Surgery, Psc's 1962414680 issued?
The East Kentucky Oral & Maxillofacial Surgery, Psc's 1962414680 was issued on 2006-08-12.
As of what date was the information regarding East Kentucky Oral & Maxillofacial Surgery, Psc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Kentucky Oral & Maxillofacial Surgery, Psc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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