TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1003099227

NPI Information

TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery clinic center in Hebron, KY. The provider is an oral and maxillofacial surgery clinic or center 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. TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC NPI is 1003099227. The provider is registered as an organization entity type.

The provider's business location address is:

2300 CONNER RD
HEBRON, KY
ZIP 41048
Phone: (859) 586-4825
Fax: (859) 586-4817

The provider's authorized official is Rodney Christopher Stigall .
The authorized official title is Member and has the following contact phone number (859) 586-4825.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.

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:

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