Green 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.