Organization
SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
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
Update your record
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