OrganizationActive
Green River Oral Surgery
NPI 1750638334 · Oral and Maxillofacial Surgery (Dentist) · Henderson, KY
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
Practice location
801 N Elm St
Henderson, KY 42420-2705
Phone: (270) 212-0330
Fax: (270) 212-0332
Approximate (ZIP-level) locationGet directions
Mailing address
801 N Elm St
Henderson, KY 42420-2705
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 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.