Organization
WURTH ORAL, FACIAL AND COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PLAYFORTH (OFFICE MANAGER)
(270) 469-1156
Entity
Organization
Contact information
Practice address
914 N DIXIE AVE STE 207, ELIZABETHTOWN, KY 42701-2520
(270) 737-6969
Mailing address
1870 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 469-1156
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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