| NPI | 1760706675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDYEE M STURGILL Doctor 270-498-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 6659) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: KY 34369) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2015-03-16 |