Organization
WURTH ORAL, FACIAL AND COSMETIC SURGERY
Active
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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