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KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC
NPI 1457379307
Dentist - Oral and Maxillofacial Surgery in Richmond, KY

Active since July 18, 2006
4097 ATWOOD DRIVE, RICHMOND, KY 40475(859) 623-7711(859) 624-2611 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2022, Sep 29, 2022, Feb 4, 2016 (3 updates tracked since 2016).

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 1457379307) is a healthcare organization registered as an oral and maxillofacial surgery in Richmond, Kentucky and active in the NPI registry since July 2006. The organization lists Reda S Vaughn, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457379307
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC
Location Address4097 ATWOOD DRIVERichmond, KY 40475-2454
Mailing Address3159 Beaumont Centre Cir Ste 110Lexington, KY 40513-1968 · (859) 278-9376 · Fax (859) 276-0260
Phone(859) 623-7711
Fax(859) 624-2611
Organization SubpartNo
Authorized OfficialReda S VaughnBusiness Office Manager · (859) 278-9376
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 12, 20223 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1457379307 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.
4097 ATWOOD DRIVE, Richmond, KY 40475
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Other Identifiers 1

Medicaid7100182680KY

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Oral & Maxillofacial Surgery
4097 ATWOOD DRIVE
RICHMOND, KY 40475
Madison County (859) 623-7711

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 Kentucky Center For Oral & Maxillofacial Surgery Psc's NPI number?

The NPI number for Kentucky Center For Oral & Maxillofacial Surgery Psc is 1457379307. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Kentucky Center For Oral & Maxillofacial Surgery Psc located?

Kentucky Center For Oral & Maxillofacial Surgery Psc is located at 4097 Atwood Drive, Richmond, KY 40475. The listed phone number is (859) 623-7711.

What is Kentucky Center For Oral & Maxillofacial Surgery Psc'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 Kentucky Center For Oral & Maxillofacial Surgery Psc was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.