OrganizationActive
Kentucky Center for Oral & Maxillofacial Surgery
NPI 1053453043 · Oral & Maxillofacial Surgery (D.M.D.) · Lexington, KY
Provider details
- NPI number
- 1053453043
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Reda Vaughn, Office Manager
Practice location
3159 Beaumont Centre Circle
Suite 110
Lexington, KY 40513-1934
Phone: (859) 278-9376
Fax: (859) 276-0260
Mailing address
3159 Beaumont Centre Circle
Lexington, KY 40513-1934
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.