OrganizationActive
East Kentucky Oral & Maxillofacial Surgery, Psc
NPI 1962414680 · Oral and Maxillofacial Surgery (Dentist) · Pikeville, KY
Provider details
- NPI number
- 1962414680
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Chad Street, Owner(606) 432-5983
- License
- 7103 (KY)
Specialties & taxonomies
Dental Providers
Practice location
387 Town Mountain Rd
Pikeville, KY 41501-1640
Phone: (606) 432-5983
Fax: (606) 432-9474
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2069
Pikeville, KY 41502-2069
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.