Organization
SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TIMOTHY MURPHY DMD (OWNER)
(606) 528-9402
Entity
Organization
Contact information
Practice address
1400 CUMBERLAND FALLS HWY, SUITE B, CORBIN, KY 40701-2739
(606) 528-9402
(606) 528-9402
Mailing address
1400 CUMBERLAND FALLS HWY, SUITE B, CORBIN, KY 40701-2739
(606) 528-9402
(606) 528-9402
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6468
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61943163
—
KY
05
—
65924474
—
KY
Enumeration date
08/31/2006
Last updated
08/22/2020
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