Organization
ORAL SURGERY GROUP OF CLARKSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (COO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
1516 LYNCH LN, SUTE B, CLARKSVILLE, IN 47129-2234
(812) 285-8890
(812) 285-8891
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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