East Kentucky Oral & Maxillofacial Surgery, Psc
Oral and Maxillofacial Dental Clinic
387 Town Mountain Rd, Pikeville
Kentucky, 41501-1640
606-432-5983 606-432-9474
Maps & DirectionsEast Kentucky Oral & Maxillofacial Surgery, Psc is a Oral and Maxillofacial Dental Clinic in Pikeville, Kentucky. It is located at 387 Town Mountain Rd, Pikeville, KY and its contact number is 606-432-5983. The authorized person for East Kentucky Oral & Maxillofacial Surgery, Psc is Mr. Chad Clifton Street
who is Owner of the clinic and their contact number is 606-432-5983. The primary license number for East Kentucky Oral & Maxillofacial Surgery, Psc is 7103 (Oral and Maxillofacial Surgery) in Kentucky.
East Kentucky Oral & Maxillofacial Surgery, Psc Clinic deals with 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.
Complete Clinic Profile:
East Kentucky Oral & Maxillofacial Surgery, Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | East Kentucky Oral & Maxillofacial Surgery, Psc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 387 Town Mountain Rd, Pikeville,
Kentucky, 41501-1640 |
| Phone: | 606-432-5983 |
| Fax: | 606-432-9474 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Chad Clifton Street |
| Position: | Owner |
| Contact Number: | 606-432-5983 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Kentucky Oral & Maxillofacial Surgery, Psc clinic are as mentioned below.
| NPI Number: | 1962414680 |
| NPI Enumeration Date: | 12 Aug, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Kentucky Oral & Maxillofacial Surgery, Psc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 7103 | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 60002300 | Medicaid | Kentucky | |
| 64068414 | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | East Kentucky Oral & Maxillofacial Surgery, Psc
Po Box 2069,
Pikeville, Kentucky |
| Zip: | 41502-2069 |
| Phone Number: | 606-432-5983 |
| Fax Number: | 606-432-9474 |
Patients can reach East Kentucky Oral & Maxillofacial Surgery, Psc at
387 Town Mountain Rd, Pikeville, Kentucky or can
call to book an appointment on 606-432-5983.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.