Organization
NORTHERN KY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Other names
No Ky Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L ROBINSON MD, DMD (OWNER)
(859) 331-2100
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 196, EDGEWOOD, KY 41017-5401
(859) 331-2100
(859) 344-4841
Mailing address
20 MEDICAL VILLAGE DR, SUITE 196, EDGEWOOD, KY 41017-5401
(859) 331-2100
(859) 344-4841
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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