OrganizationActive
Tri-State Oral and Maxillofacial Surgery LLC
NPI 1003099227 · Oral and Maxillofacial Surgery Clinic/Center · Hebron, KY
Provider details
- NPI number
- 1003099227
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rodney Stigall, Member
- License
- 803 (KY)
Practice location
2300 Conner Rd
Hebron, KY 41048
Phone: (859) 586-4825
Fax: (859) 586-4817
Mailing address
2300 Conner Rd
Hebron, KY 41048
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.