Southeast Oral and Maxillofacial Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6468 Issued in KY

Legal business name

SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

Practice address

1400 Cumberland Falls Hwy
Suite B
Corbin, KY 40701-2739

Phone

(606) 528-9402

Fax

(606) 528-9402

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Timothy Murphy, DMDNPI 1093827610

Title

Owner

Phone

(606) 528-9402

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Michael Timothy Murphy, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Corbin, KY
  • NPI 1093827610
  NPD (past) Authorized official
• Steven Andrew Anderson, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • London, KY
  • NPI 1861599201

  Oral and Maxillofacial Surgery

  NPD (past)
• John R Cramer, DDS MD

  • Dentist
  • Lexington, KY
  • NPI 1609866102
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629180252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CUMBERLAND FALLS HWY",
            "address_2": "SUITE B",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012739",
            "telephone_number": "606-528-9402",
            "fax_number": "606-528-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CUMBERLAND FALLS HWY",
            "address_2": "SUITE B",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012739",
            "telephone_number": "606-528-9402",
            "fax_number": "606-528-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-528-9402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61943163",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65924474",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soulistic Counseling LLC (Soulistic Counseling)
• South East Eyecare PSC
• Southeast Kentucky Audiology Services Inc.
• Southeast Kentucky Speech Pathology Services, Inc.
• Southeast Kentucky Speech Pathology, LLC
• Southeastern Kentucky Physical Therapy Clinic Inc (Corbin Physical Therapy Clinic)
• Southeastern Medical Supply LLC
• Angela Marie Sowders, TCM
• Sparks Joy Behavioral Solutions LLC
• Brittany Sparks, BCBA, LBA

• Oral and Maxillofacial Surgery (Dentist) in Corbin, KY
• Providers in Corbin, 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 Aug 22, 2020; 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.