Kentucky Center For Oral & Maxillofacial Surgery Psc is a Oral and Maxillofacial Dental Clinic in Louisville, Kentucky. This organization is also known as sub part of Kentucky Center For Oral & Maxillofacial Surgery. It is located at 4515 Churchman Ave., Louisville, KY and its contact number is 502-361-0134. The authorized person for Kentucky Center For Oral & Maxillofacial Surgery Psc is Penny Boone
who is Office Manager of the clinic and their contact number is 502-361-0134. 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:
4515 Churchman Ave., Louisville, Kentucky, 40215
Phone:
502-361-0134
Fax:
502-361-0137
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:
Penny Boone
Position:
Office Manager
Contact Number:
502-361-0134
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:
1235329400
Parent Organization:
Kentucky Center For Oral & Maxillofacial Surgery
NPI Enumeration Date:
25 Jul, 2007
NPI Last Update On:
11 Sep, 2024
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
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
65941114
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 4515 Churchman Ave., Louisville, Kentucky
Zip:
40215
Phone Number:
502-361-0134
Fax Number:
502-361-0137
Patients can reach Kentucky Center For Oral & Maxillofacial Surgery Psc at 4515 Churchman Ave., Louisville, Kentucky or can call to book an appointment on 502-361-0134. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.