NPI 1003099227

Tri-State Oral and Maxillofacial Surgery LLC

Organisation Oral and Maxillofacial Surgery Clinic/Center Hebron, KY

Practice location

Address: 2300 Conner Rd, Hebron, KY 41048
Phone: (859) 586-4825
Fax: (859) 586-4817

Authorised official

Name: Rodney Christopher Stigall
Title: Member
Phone: (859) 586-4825

Registered specialties

Oral and Maxillofacial Surgery Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS0112X Licence 803 (KY)

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Registry record

NPI: 1003099227
Entity type: Organization
NPI issued: 11 Dec 2007
Record last updated: 11 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.