Organization
KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REDA S. VAUGHN (OFFICE MANAGER)
(859) 278-9376
Entity
Organization
Contact information
Practice address
4097 ATWOOD DRIVE, RICHMOND, KY 40475-2454
(859) 623-7711
(859) 624-2611
Mailing address
3159 BEAUMONT CENTRE CIRCLE, SUITE 110, LEXINGTON, KY 40513-1934
(859) 278-9376
(859) 276-0260
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100182700
—
KY
Enumeration date
02/14/2007
Last updated
09/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us