Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELIZABETHTOWN ORAL AND MAXILLOFACIAL SURGERY
NPI 1407753734
Dentist - Oral and Maxillofacial Surgery in Elizabethtown, KY

Q: What is Elizabethtown Oral And Maxillofacial Surgery's specialty?

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

Active since October 21, 2026

914 N DIXIE AVE STE 207, ELIZABETHTOWN, KY 42701(270) 737-6969(502) 897-0427 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Elizabethtown Oral And Maxillofacial Surgery NPPES

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

ELIZABETHTOWN ORAL AND MAXILLOFACIAL SURGERY (NPI 1407753734) is a healthcare organization registered as an oral and maxillofacial surgery in Elizabethtown, Kentucky and active in the NPI registry since October 2026. The organization lists Shelbie Hearn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407753734

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameELIZABETHTOWN ORAL AND MAXILLOFACIAL SURGERY

Location Address914 N DIXIE AVE STE 207Elizabethtown, KY 42701-2520

Mailing Address914 N Dixie Ave Ste 207Elizabethtown, KY 42701-2520 · (270) 737-6969 · Fax (502) 897-0427

Phone(270) 737-6969

Fax(502) 897-0427

Organization SubpartNo

Authorized OfficialShelbie HearnOffice Manager · (502) 442-9966

Enumeration DateOctober 21, 2026

NPPES CertifiedOctober 21, 2026

✔ NPI 1407753734 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 ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X

914 N DIXIE AVE STE 207, Elizabethtown, KY 42701

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Other Providers at the Same Location NPPES

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

WURTH ORAL, FACIAL AND COSMETIC SURGERY

Clinic/Center (Oral and Maxillofacial Surgery)

914 N DIXIE AVE STE 207
ELIZABETHTOWN, KY 42701

Hardin County (270) 737-6969

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 Elizabethtown Oral And Maxillofacial Surgery's NPI number?

The NPI number for Elizabethtown Oral And Maxillofacial Surgery is 1407753734. It was assigned to this organization in the NPPES registry on October 21, 2026.

Where is Elizabethtown Oral And Maxillofacial Surgery located?

Elizabethtown Oral And Maxillofacial Surgery is located at 914 N Dixie Ave Ste 207, Elizabethtown, KY 42701. The listed phone number is (270) 737-6969.

What is Elizabethtown Oral And Maxillofacial Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabethtown Oral And Maxillofacial Surgery was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.