OrganizationActive
Commonwealth Oral and Maxillofacial Surgery, Psc
NPI 1922480250 · Oral and Maxillofacial Surgery (Dentist) · Louisville, KY
Provider details
- NPI number
- 1922480250
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Timothy Acord, Owner, President(502) 423-7822
- License
- 8588 (KY)
Specialties & taxonomies
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
6520 Glenridge Park Pl
Suite 7
Louisville, KY 40222-3455
Phone: (502) 423-7822
Fax: (502) 423-7830
Approximate (ZIP-level) locationGet directions
Mailing address
6520 Glenridge Park Pl
Louisville, KY 40222-3455
Other names (DBA / former)
- Doing business as
- Commonwealth Oral Surgery
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2015-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.