Organization
EDYEE M STURGILL, DMD, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDYEE M STURGILL DMD, MD (DOCTOR)
(270) 498-7297
Entity
Organization
Contact information
Practice address
895 WILKINSON TRCE STE B, BOWLING GREEN, KY 42103-2486
(270) 498-7297
Mailing address
895 WILKINSON TRCE STE B, BOWLING GREEN, KY 42103-2486
(270) 498-7297
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6659
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34369
KY
Other
Enumeration date
03/22/2010
Last updated
03/16/2015
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