GEORGETOWN ORAL AND FACIAL SURGERY, LLC
NPI 1609000272
Dentist - Oral and Maxillofacial Surgery in Georgetown, KY

Active since May 11, 2009
101 DARBY DR, SUITE 101, GEORGETOWN, KY 40324(502) 863-5858(859) 971-9722 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgetown Oral And Facial Surgery, Llc NPPES

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

GEORGETOWN ORAL AND FACIAL SURGERY, LLC (NPI 1609000272) is a healthcare organization registered as an oral and maxillofacial surgery in Georgetown, Kentucky and active in the NPI registry since May 2009. The organization lists Amy Cornette Henderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609000272
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGEORGETOWN ORAL AND FACIAL SURGERY, LLC
Location Address101 DARBY DR, SUITE 101Georgetown, KY 40324-8715
Mailing Address972 Fiddler Creek WayLexington, KY 40515-6460 · (859) 971-9722 · Fax (859) 971-9722
Fax(859) 971-9722
Organization SubpartNo
Authorized OfficialAmy Cornette HendersonOffice Manager · (859) 971-9722
Enumeration DateMay 11, 2009
Last NPPES UpdateJune 2, 2009
NPI 1609000272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in KY · 7379
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.
101 DARBY DR, Georgetown, KY 40324

Other Identifiers 1

Other1811915622KY · Individual Npi

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 Georgetown Oral And Facial Surgery, LLC's NPI number?

The NPI number for Georgetown Oral And Facial Surgery, LLC is 1609000272. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Georgetown Oral And Facial Surgery, LLC located?

Georgetown Oral And Facial Surgery, LLC is located at 101 Darby Dr Suite 101, Georgetown, KY 40324. The listed phone number is (502) 863-5858.

What is Georgetown Oral And Facial Surgery, LLC's specialty?

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

What insurance does Georgetown Oral And Facial Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and UnitedHealthcare list Georgetown Oral And Facial Surgery, LLC 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 Georgetown Oral And Facial Surgery, LLC was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.