# KENTUCKY ORAL AND FACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greater Louisville Oral & Maxillofacial Surgery Associates, Jame Klemens DDS, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790575736
- **Authorized official:** JACKIE HOLLOWAY (DIRECTOR OF RCM)
- **Authorized official phone:** (854) 200-7970

## Contact information

- **Practice address:** 3101 BRECKENRIDGE LN STE 2D, LOUISVILLE, KY 40220-2742
- **Practice address phone:** (502) 459-8012
- **Mailing address:** 3700 INGLESIDE BLVD, LADSON, SC 29456-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2025
- **Last updated:** 05/20/2025