Organization
ORAL SURGERY GROUP OF FRANKFORT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
103 C MICHAEL DAVENPORT BLVD, FRANKFORT, KY 40601-4491
(502) 352-2510
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3498
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7229
KY
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/28/2011
Last updated
09/06/2023
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