Green River Oral Surgery
NPI 1750638334 · Oral and Maxillofacial Surgery (Dentist) · Henderson, KY
Green River Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Henderson, KY (NPI 1750638334).
Provider details
- NPI number
- 1750638334
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Robert Wagoner, Owner(570) 814-3085
- License
- 7298 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Frequently asked questions
- What is Green River Oral Surgery's NPI number?
- Green River Oral Surgery's National Provider Identifier (NPI) is 1750638334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green River Oral Surgery?
- Green River Oral Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Green River Oral Surgery located?
- Green River Oral Surgery's practice location on file with NPPES is 801 N Elm St, Henderson, KY 42420-2705.
- What is Green River Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for Green River Oral Surgery is (270) 212-0330.
- Who is the authorized official for Green River Oral Surgery?
- The authorized official listed on Green River Oral Surgery's NPPES record is Robert Wagoner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green River Oral Surgery's NPI active?
- Yes — Green River Oral Surgery's NPI (1750638334) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.