Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is a Dental Clinic in Louisville, Kentucky. It is located at 2800 Cannons Ln, Ste 200, Louisville, KY and its contact number is 502-454-4885. The authorized person for Kentuckiana Oral & Maxillofacial Surgery Assoc Psc is Dr. Nathan F Walters
who is President of the clinic and their contact number is 502-454-4885. Kentuckiana Oral & Maxillofacial Surgery Assoc Psc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kentuckiana Oral & Maxillofacial Surgery Assoc Psc
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. Nathan F Walters
Position:
President
Contact Number:
502-454-4885
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 Kentuckiana Oral & Maxillofacial Surgery Assoc Psc clinic are as mentioned below.
NPI Number:
1396737011
NPI Enumeration Date:
18 Aug, 2005
NPI Last Update On:
06 Feb, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kentuckiana Oral & Maxillofacial Surgery Assoc Psc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Kentucky
Primary
Dentist
Kentucky
Secondary
Oral & Maxillofacial Surgery
Kentucky
Secondary
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
DC1281
Other
Kentucky
Railroad Medicare
50004012
Other
Kentucky
Passport Group
7100224860
Medicaid
Kentucky
7100231360
Medicaid
Kentucky
7100232940
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.
Patients can reach Kentuckiana Oral & Maxillofacial Surgery Assoc Psc at 2800 Cannons Ln, Ste 200, Louisville, Kentucky or can call to book an appointment on 502-454-4885. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.