WURTH ORAL FACIAL AND COSMETIC SURGERY NPI 1629554639

NPI Information

  • NPI: 1629554639
  • Provider Name: WURTH ORAL, FACIAL AND COSMETIC SURGERY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 914 N DIXIE AVE STE 207
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 737-6969

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NPI Details

WURTH ORAL, FACIAL AND COSMETIC SURGERY is an oral and maxillofacial surgery clinic center in Elizabethtown, 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. WURTH ORAL, FACIAL AND COSMETIC SURGERY NPI is 1629554639. The provider is registered as an organization entity type.

The provider's business location address is:

914 N DIXIE AVE STE 207
ELIZABETHTOWN, KY
ZIP 42701-520
Phone: (270) 737-6969

The provider's authorized official is Ashley Playforth .
The authorized official title is Office Manager and has the following contact phone number (270) 469-1156.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 7/12/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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This page was last updated on: 11/21/2025

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