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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
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