The Implant and Oral Surgery Center, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

THE IMPLANT AND ORAL SURGERY CENTER, LLC

Practice address

204 Bevins LN
Suite F
Georgetown, KY 40324-6139

Phone

(502) 863-1402

Fax

(502) 863-1405

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Donald R. McLaurin, DMD, MD

Title

Oral Surgeon

Phone

(859) 498-6204

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1912133620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN",
            "address_2": "SUITE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246139",
            "telephone_number": "502-863-1402",
            "fax_number": "502-863-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN",
            "address_2": "SUITE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246139",
            "telephone_number": "502-863-1402",
            "fax_number": "502-863-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMPLANT AND ORAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MCLAURIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "859-498-6204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "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": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Georgetown, KY
• Providers in Georgetown, 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 Jun 23, 2009; 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.