Organization
ORAL SURGERY GROUP OF MIDDLETOWN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE ARMSTRONG (DIRECTOR OF CREDENTIALING)
(502) 854-8501
Entity
Organization
Contact information
Practice address
134 EVERGREEN RD, MIDDLETOWN, KY 40243-1487
(502) 410-1702
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
7229
KY
Other
Enumeration date
04/06/2010
Last updated
07/01/2013
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