Oral & Facial Surgery Center of Ky PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

35220 Issued in KY

Legal business name

ORAL & FACIAL SURGERY CENTER OF KY PLLC

Practice address

1105 Mary T Meagher Rd
Elizabethtown, KY 42701-7990

Phone

(270) 737-0586

Fax

(270) 737-2949

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Kevin Hargan, D.M.D., M.D.NPI 1659480671

Title

Doctor / Owner

Phone

(270) 737-0586

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Keith Hargan, D.M.D, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Elizabethtown, KY
  • NPI 1659480671
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1295914471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MARY T MEAGHER RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017990",
            "telephone_number": "270-737-0586",
            "fax_number": "270-737-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MARY T MEAGHER RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017990",
            "telephone_number": "270-737-0586",
            "fax_number": "270-737-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY CENTER OF KY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HARGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "270-737-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "35220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "7497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.