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ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PLC NPI 1316191026


NPI Information

NPI: 1316191026
Provider Name: ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC

Other Name: KIM E. GOLDMAN, D.M.D.

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
210 E GRAY ST
SUITE 800
LOUISVILLE, KY
ZIP 40202
Phone: (502) 582-3750
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ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC is an oral and maxillofacial surgery dentist in Louisville, KY. The provider is 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. ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC NPI is 1316191026. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kim E. Goldman, D.m.d..

The provider's business location address is:

210 E GRAY ST
SUITE 800
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 582-3750
Fax: (502) 582-3752

The provider's authorized official is Tabitha Burnett .
The authorized official title is Office Manager and has the following contact phone number (502) 582-3750.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 11/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery06323KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10931601MEDICARE UPINKENTUCKY
264063233MEDICAIDKENTUCKY
360063237MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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