# THE IMPLANT AND ORAL SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912133620
- **Authorized official:** DR. DONALD R. MCLAURIN DMD, MD (ORAL SURGEON)
- **Authorized official phone:** (859) 498-6204

## Contact information

- **Practice address:** 204 BEVINS LN, SUITE F, GEORGETOWN, KY 40324-6139
- **Practice address phone:** (502) 863-1402
- **Practice address fax:** (502) 863-1405
- **Mailing address:** 204 BEVINS LN, SUITE F, GEORGETOWN, KY 40324-6139
- **Mailing address phone:** (502) 863-1402
- **Mailing address fax:** (502) 863-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 06/23/2009