Green River Oral Surgery
Oral and Maxillofacial Dental Clinic
801 N Elm St, Henderson
Kentucky, 42420-2705
270-212-0330 270-212-0332
Maps & DirectionsGreen River Oral Surgery is a Oral and Maxillofacial Dental Clinic in Henderson, Kentucky. It is located at 801 N Elm St, Henderson, KY and its contact number is 270-212-0330. The authorized person for Green River Oral Surgery is Dr. Robert Gene Wagoner Ii
who is Owner of the clinic and their contact number is 570-814-3085. The primary license number for Green River Oral Surgery is 7298 (Oral and Maxillofacial Surgery) in Kentucky.
Green River Oral Surgery 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:
Green River Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Green River Oral Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 801 N Elm St, Henderson,
Kentucky, 42420-2705 |
| Phone: | 270-212-0330 |
| Fax: | 270-212-0332 |
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: | Dr. Robert Gene Wagoner Ii |
| Position: | Owner |
| Contact Number: | 570-814-3085 |
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 Green River Oral Surgery clinic are as mentioned below.
| NPI Number: | 1750638334 |
| NPI Enumeration Date: | 13 Aug, 2012 |
| NPI Last Update On: | 13 Aug, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Green River Oral Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 7298 | 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 |
| 64063514 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Green River Oral Surgery
801 N Elm St,
Henderson, Kentucky |
| Zip: | 42420-2705 |
| Phone Number: | 270-212-0330 |
| Fax Number: | 270-212-0332 |
Patients can reach Green River Oral Surgery at
801 N Elm St, Henderson, Kentucky or can
call to book an appointment on 270-212-0330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.