TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC – NPI #1003099227
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC is an AHC clinic located in HEBRON, KY. NPPES has assigned the NPI number 1003099227 to TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC on December 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC below.

NPI Profile for
TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC

NPI Number
1003099227
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI-STATE ORAL AND MAXILLOFACIAL SURGERY LLC
Primary location
2300 CONNER RD
HEBRON, KY 41048
Phone: (859) 586-4825 Fax: (859) 586-4817
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODNEY STIGALL
MEMBER
Phone: (859) 586-4825
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)
KY 803

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.