Kentucky Center For Oral & Maxillofacial Surgery Psc
Oral and Maxillofacial Dental Clinic
4097 Atwood Drive, Richmond
Kentucky, 40475-2454
859-623-7711 859-624-2611
Maps & DirectionsKentucky Center For Oral & Maxillofacial Surgery Psc is a Oral and Maxillofacial Dental Clinic in Richmond, Kentucky. It is located at 4097 Atwood Drive, Richmond, KY and its contact number is 859-623-7711. The authorized person for Kentucky Center For Oral & Maxillofacial Surgery Psc is Mrs. Reda S Vaughn
who is Business Office Manager of the clinic and their contact number is 859-278-9376.
Kentucky Center For 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:
Kentucky Center For 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: | Kentucky Center For Oral & Maxillofacial Surgery Psc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 4097 Atwood Drive, Richmond,
Kentucky, 40475-2454 |
| Phone: | 859-623-7711 |
| Fax: | 859-624-2611 |
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: | Mrs. Reda S Vaughn |
| Position: | Business Office Manager |
| Contact Number: | 859-278-9376 |
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 Kentucky Center For Oral & Maxillofacial Surgery Psc clinic are as mentioned below.
| NPI Number: | 1457379307 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 12 Oct, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kentucky Center For Oral & Maxillofacial Surgery Psc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | 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 |
| 7100182680 | 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: | Kentucky Center For Oral & Maxillofacial Surgery Psc
3159 Beaumont Centre Cir Ste 110,
Lexington, Kentucky |
| Zip: | 40513-1968 |
| Phone Number: | 859-278-9376 |
| Fax Number: | 859-276-0260 |
Patients can reach Kentucky Center For Oral & Maxillofacial Surgery Psc at
4097 Atwood Drive, Richmond, Kentucky or can
call to book an appointment on 859-623-7711.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.