Active NPI
Wurth Oral, Facial and Cosmetic Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Elizabethtown, KY
National Provider Identifier
1629554639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- Legal business name
- WURTH ORAL, FACIAL AND COSMETIC SURGERY
- Practice address
- 914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520 - Phone
- (270) 737-6969
- NPI assigned
- Jul 12, 2018
- Last updated
- Jul 12, 2018
- 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
- Ashley Playforth
- Title
- Office Manager
- Phone
- (270) 469-1156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | NU | Primary |
Addresses
Primary practice location
914 N Dixie Ave Ste 207
Elizabethtown, KY 42701-2520
Mailing address
1870 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 469-1156
National Provider Directory
National Provider DirectoryLocations
1870 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-5379
914 N Dixie Ave
Ste 207
Elizabethtown, KY 42701
Phone (270) 737-6969
Practitioners & affiliated clinicians
Practitioners 2
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)
- Campbellsville, KY
- NPI 1588828784
-
- Oral and Maxillofacial Surgery (Dentist)
- Elizabethtown, KY
- NPI 1912037383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531353600000",
"number": "1629554639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189663",
"telephone_number": "270-469-1156"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WURTH ORAL, FACIAL AND COSMETIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A",
"authorized_official_last_name": "PLAYFORTH",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "270-469-1156"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.