Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC
Active
Other names
Kim E. Goldman, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA BURNETT (OFFICE MANAGER)
(502) 582-3750
Entity
Organization
Contact information
Practice address
210 E GRAY ST, SUITE 800, LOUISVILLE, KY 40202-3900
(502) 582-3750
(502) 582-3752
Mailing address
210 E GRAY ST, SUITE 800, LOUISVILLE, KY 40202-3900
(502) 582-3750
(502) 582-3752
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06323
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60063237
—
KY
05
—
64063233
—
KY
Enumeration date
11/07/2008
Last updated
11/07/2008
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