Individual
DR. MATTHEW NATHANIEL GAYHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D. , M.D.
Contact information
Practice address
216 FOUNTAIN CT STE 110, LEXINGTON, KY 40509-2181
(859) 264-1898
(859) 685-0118
Mailing address
3113 GLENGARTH PARK, LEXINGTON, KY 40509-8556
(859) 661-0106
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100186190
—
KY
01
—
991
OMS SPECIALTY LICENSE
KY
Enumeration date
05/31/2010
Last updated
07/19/2016
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