Organization Active NPI

Edyee M Sturgill, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bowling Green, KY
National Provider Identifier
1760706675
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6659 Issued in KY
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Edyee M Sturgill, DMD, MDNPI 1679676191
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.