Organization
SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE ALVEY (CREDENTIALING COORDINATOR)
(270) 783-0064
Entity
Organization
Contact information
Practice address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
(270) 783-0064
Mailing address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100049450
—
KY
05
—
7100049460
—
KY
Enumeration date
09/26/2007
Last updated
09/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us