KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC
NPI 1235329400
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Active since July 25, 2007
4515 CHURCHMAN AVE., LOUISVILLE, KY 40215(502) 361-0134(502) 361-0137 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky Center For Oral & Maxillofacial Surgery Psc NPPES

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

KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC (NPI 1235329400), doing business as Kentucky Center For Oral & Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Louisville, Kentucky and active in the NPI registry since July 2007. The organization maintains a secondary practice location in Crestwood and lists Penny Boone, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235329400
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHAD R. SCHULTEN PSC
Location Address4515 CHURCHMAN AVE.Louisville, KY 40215
Mailing Address4515 Churchman Ave.Louisville, KY 40215 · (502) 361-0134 · Fax (502) 361-0137
Fax(502) 361-0137
Organization SubpartYesParent: Kentucky Center For Oral & Maxillofacial Surgery
Authorized OfficialPenny BooneOffice Manager · (502) 361-0134
Enumeration DateJuly 25, 2007
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1235329400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4515 CHURCHMAN AVE., Louisville, KY 40215

Other Names 2

Other NameKentucky Center For Oral & Maxillofacial Surgery Psc
Doing Business AsKentucky Center For Oral & Maxillofacial Surgery

Secondary Practice Location 1

Location 16225 W Highway 146Crestwood, KY 40014-7595 · Phone (502) 241-0714 · Fax (502) 361-0137

Other Identifiers 1

Medicaid65941114KY

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thad R. Schulten Psc's NPI number?

The NPI number for Thad R. Schulten Psc is 1235329400. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider is doing business as Kentucky Center for Oral & Maxillofacial Surgery. The provider is also known as Kentucky Center For Oral & Maxillofacial Surgery Psc.

Where is Thad R. Schulten Psc located?

Thad R. Schulten Psc is located at 4515 Churchman Ave., Louisville, KY 40215. The listed phone number is (502) 361-0134.

What is Thad R. Schulten Psc's specialty?

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

What insurance does Thad R. Schulten Psc accept?

Health plans from UnitedHealthcare list Thad R. Schulten Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thad R. Schulten Psc was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.