Kentuckiana Oral & Maxillofacial Surgery Assoc Psc in Louisville - Oral & Maxillofacial Surgery
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc - NPI 1396737011
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is a Oral & Maxillofacial Surgery in Louisville, Kentucky. Kentuckiana Oral & Maxillofacial Surgery Assoc Psc practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is 1396737011. The last update date is 2018-02-06.
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc's current location address is 2800 Cannons Ln, Louisville, Kentucky. You can contact this provider via phone number 5024544885 and fax number 5024521926. The mailing address for Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is 2800 Cannons Ln, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kentuckiana Oral & Maxillofacial Surgery Assoc Psc |
|---|---|
| Address | 2800 Cannons Ln, Louisville, Kentucky |
| Phone Number | 5024544885 |
| Fax Number | 5024521926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Walters F Nathan |
| Credentials | DMD |
| Telephone Number | 5024544885 |
NPI Number Detail
| NPI Number | 1396737011 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2018-02-06 |
Provider Mailing Address Detail
| Address | 2800 Cannons Ln |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40205 |
| Phone Number | 5024544885 |
| Fax Number | 5024521926 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC1281 | KY | RAILROAD MEDICARE | |
| 50004012 | KY | PASSPORT GROUP | |
| 7100224860 | KY | -- | |
| 7100231360 | KY | -- | |
| 7100232940 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kentuckiana Oral & Maxillofacial Surgery Assoc Psc by the Centers for Medicare & Medicaid Services?
The Kentuckiana Oral & Maxillofacial Surgery Assoc Psc has been issued the NPI (National Provider Identifier) 1396737011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is geographically located?
The Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is physically situated at the following location: 2800 Cannons Ln, Louisville, KY, 40205.
What is Kentuckiana Oral & Maxillofacial Surgery Assoc Psc's area of expertise and its corresponding taxonomy classification?
The Kentuckiana Oral & Maxillofacial Surgery Assoc Psc's field of specialization is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1396737011 to Kentuckiana Oral & Maxillofacial Surgery Assoc Psc?
The Centers for Medicare & Medicaid Services assigned the 1396737011 to Kentuckiana Oral & Maxillofacial Surgery Assoc Psc on 2005-08-18.
When was the information related to Kentuckiana Oral & Maxillofacial Surgery Assoc Psc most recently updated or refreshed?
The details pertaining to the Kentuckiana Oral & Maxillofacial Surgery Assoc Psc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-02-06.