| NPI | 1649900465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL SEXTON Oms 859-744-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-17 |