Active NPI
Elizabethtown Oral and Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Elizabethtown, KY
National Provider Identifier
1407753734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ELIZABETHTOWN ORAL AND MAXILLOFACIAL SURGERY
- Practice address
- 914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520 - Phone
- (270) 737-6969
- Fax
- (502) 897-0427
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelbie Hearn
- Title
- Office Manager
- Phone
- (502) 442-9966
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary | ||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X |
Addresses
Primary practice location
914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520
Mailing address
914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520
Phone (270) 737-6969
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Elizabethtown, KY
- NPI 1912037383
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1730382722
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1154731156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792540800000",
"number": "1407753734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE STE 207",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-737-6969",
"fax_number": "502-897-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE STE 207",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-737-6969",
"fax_number": "502-897-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETHTOWN ORAL AND MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A",
"authorized_official_last_name": "HEARN",
"authorized_official_first_name": "SHELBIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "502-442-9966",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
- Elizabethtown Hearing Aid Center Inc
- Elizabethtown Hearing Aid Center, LLC
- Elizabethtown Hematology-Oncology PLC
- Elizabethtown Ind. School System
- Elizabethtown Opco LLC (Elizabethtown Nursing and Rehabilitation Center)
- Elizabethtown Partners in Counseling
- Elizabethtown Partners in Counseling Inc
- Elizabethtown Partners in Counseling Inc
- Elizabethtown Pediatric Dentistry (Pediatric Dentistry of Elizabethtown)
- Elizabethtown Physicians for Women,PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.