Organization
KENTUCKY ORAL AND FACIAL SURGERY
Active
Other names
Greater Louisville Oral & Maxillofacial Surgery Associates, Jame Klemens DDS, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HOLLOWAY (DIRECTOR OF RCM)
(854) 200-7970
Entity
Organization
Contact information
Practice address
3101 BRECKENRIDGE LN STE 2D, LOUISVILLE, KY 40220-2742
(502) 459-8012
Mailing address
3700 INGLESIDE BLVD, LADSON, SC 29456-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/20/2025
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