SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
NPI 1013104892
Dentist - Oral and Maxillofacial Surgery in Bowling Green, KY

Q: What is Southern Kentucky Oral Surgery Associates PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 26, 2007

1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104(270) 783-0064 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2021, Nov 21, 2018, Dec 7, 2017 (3 updates tracked since 2017).

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About Southern Kentucky Oral Surgery Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC (NPI 1013104892) is a healthcare organization registered as an oral and maxillofacial surgery in Bowling Green, Kentucky and active in the NPI registry since September 2007. The organization lists Vickie Alvey, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013104892

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC

Location Address1802 ROCKINGHAM AVEBowling Green, KY 42104-3348

Mailing Address1802 Rockingham AveBowling Green, KY 42104-3348

Phone(270) 783-0064

Organization SubpartNo

Authorized OfficialVickie AlveyCredentialing Coordinator · (270) 783-0064

Enumeration DateSeptember 26, 2007

Last NPPES UpdateSeptember 21, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1013104892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X

1802 ROCKINGHAM AVE, Bowling Green, KY 42104

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Other Identifiers 2

Medicaid7100049450KY

Medicaid7100049460KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDERSON AESTHETICS AND RECONSTRUCTIVE SURGERY PLLC

Surgery (Plastic and Reconstructive Surgery)