EAST KENTUCKY ORAL & MAXILLOFACIAL SURGERY, PSC
NPI 1962414680
Dentist - Oral and Maxillofacial Surgery in Pikeville, KY

Q: What is East Kentucky 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.

Active since August 12, 2006

387 TOWN MOUNTAIN RD, PIKEVILLE, KY 41501(606) 432-5983(606) 432-9474 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About East Kentucky Oral & Maxillofacial Surgery, Psc NPPES

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

EAST KENTUCKY ORAL & MAXILLOFACIAL SURGERY, PSC (NPI 1962414680) is a healthcare organization registered as an oral and maxillofacial surgery in Pikeville, Kentucky and active in the NPI registry since August 2006. The organization lists Chad Clifton Street, Owner, as its authorized official.

NPPES Registry Identity

NPI1962414680

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEAST KENTUCKY ORAL & MAXILLOFACIAL SURGERY, PSC

Location Address387 TOWN MOUNTAIN RDPikeville, KY 41501-1640

Mailing AddressPo Box 2069Pikeville, KY 41502-2069 · (606) 432-5983 · Fax (606) 432-9474

Phone(606) 432-5983

Fax(606) 432-9474

Organization SubpartNo

Authorized OfficialChad Clifton StreetOwner · (606) 432-5983

Enumeration DateAugust 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1962414680 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 · 7103

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.

387 TOWN MOUNTAIN RD, Pikeville, KY 41501

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Other Identifiers 2

Medicaid60002300KY

Medicaid64068414KS

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

Other Providers at the Same Location NPPES 11

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

PIKEVILLE RADIOLOGY

Radiology (Diagnostic Radiology)

387 TOWN MOUNTAIN RD, SUITE 106
PIKEVILLE, KY 41501

Pike County (606) 432-9094

CRIDER JOHNSON PEDIATRICS PSC

Pediatrics

387 TOWN MOUNTAIN RD, SUITE 202
PIKEVILLE, KY 41501

Pike County (606) 437-1056

CLINE MEDICAL GROUP LLC

Family Medicine

387 TOWN MOUNTAIN RD, SUITE #100
PIKEVILLE, KY 41501

Pike County (606) 637-2334

JYOTHI METTU M.D.

Pediatrics (Sleep Medicine)

387 TOWN MOUNTAIN RD, STE 108
PIKEVILLE, KY 41501

Pike County (606) 437-4925

R.V. METTU,M.D PSC

Internal Medicine (Sleep Medicine)

387 TOWN MOUNTAIN RD, STE 108
PIKEVILLE, KY 41501

Pike County (606) 437-4925

JACK BYRON CRIDER M.D.

Pediatrics

387 TOWN MOUNTAIN RD, STE 202
PIKEVILLE, KY 41501

Pike County (606) 437-1008

OSCAR W THOMPSON III MD

Specialist

387 TOWN MOUNTAIN RD, SUITE 201
PIKEVILLE, KY 41501

Pike County (606) 432-0079

WILSON & WHEELER PSC

Clinic/Center (Ophthalmologic Surgery)

387 TOWN MOUNTAIN RD, SUITE 107
PIKEVILLE, KY 41501

Pike County (606) 437-7355

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 East Kentucky Oral & Maxillofacial Surgery, Psc's NPI number?

The NPI number for East Kentucky Oral & Maxillofacial Surgery, Psc is 1962414680. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is East Kentucky Oral & Maxillofacial Surgery, Psc located?

East Kentucky Oral & Maxillofacial Surgery, Psc is located at 387 Town Mountain Rd, Pikeville, KY 41501. The listed phone number is (606) 432-5983.

What is East Kentucky 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 East Kentucky Oral & Maxillofacial Surgery, Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.