Organization
ORAL & FACIAL SURGERY CENTER OF KY PLLC
Active
Organization
ORAL & FACIAL SURGERY CENTER OF KY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEVIN HARGAN D.M.D., M.D. (DOCTOR / OWNER)
(270) 737-0586
Entity
Organization
Contact information
Practice address
1105 MARY T MEAGHER RD, ELIZABETHTOWN, KY 42701-7990
(270) 737-0586
(270) 737-2949
Mailing address
1105 MARY T MEAGHER RD, ELIZABETHTOWN, KY 42701-7990
(270) 737-0586
(270) 737-2949
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
35220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7497
MEDICARE GROUP NUMBER
—
Enumeration date
10/24/2007
Last updated
12/13/2007
Update your record
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