Active NPI
Edyee M Sturgill, DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6659
- Legal business name
- EDYEE M STURGILL, DMD, MD
- Practice address
- 895 Wilkinson Trce Ste B
Bowling Green, KY 42103-2486 - Phone
- (270) 498-7297
- NPI assigned
- Mar 22, 2010
- Last updated
- Mar 16, 2015
- 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
- Dr. Edyee M Sturgill, DMD, MD
- Title
- Doctor
- Phone
- (270) 498-7297
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6659 | KY | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 34369 | KY |
Addresses
Primary practice location
895 Wilkinson Trce Ste B
Bowling Green, KY 42103-2486
Mailing address
895 Wilkinson Trce Ste B
Bowling Green, KY 42103-2486
Phone (270) 498-7297
National Provider Directory
National Provider DirectoryLocations
895 Wilkinson Trce
#B
Bowling Green, KY 42103
Phone (270) 498-7297
Practitioners & affiliated clinicians
Practitioners 1
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)
- Bowling Green, KY
- NPI 1679676191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1760706675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 WILKINSON TRCE STE B",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032486",
"telephone_number": "270-498-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 WILKINSON TRCE STE B",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032486",
"telephone_number": "270-498-7297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDYEE M STURGILL, DMD, MD",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-22",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "STURGILL",
"authorized_official_first_name": "EDYEE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "270-498-7297",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "6659",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "KY",
"license": "34369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.