SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC – Oral and Maxillofacial Surgery (Dentist), NPI 1013104892

SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC is a healthcare provider. based in Bowling green, Kentucky. specializing in Oral and Maxillofacial Surgery (Dentist). The NPI Number for SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC is 1013104892

Main info

Organization
Name
SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
NPI
1013104892
Phone
Not provided
Address
1802 ROCKINGHAM AVE
Authorized Official
VICKIE ALVEY CREDENTIALING COORDINATOR
Enumeration Date
26 September 2007
Last Update Date
21 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC

  • 1802 ROCKINGHAM AVE

    BOWLING GREEN, KY 421043348

    Phone:

    Type: Mailing

  • 1938, Lyda Avenue, Eastland Park, Bowling Green, Warren County, Kentucky, 42104, United States

    BOWLING GREEN, KY 421043326

    Phone: (270) 783-0064

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42104)

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Frequently asked questions

How do payers reference SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC?
For SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC, use NPI 1013104892 as the unique 10-digit identifier.
Is SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC shown as active in public data?
Registry records indicate SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC maintains an active NPI.
What expertise is attributed to SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC?
SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC's specialty line reads Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC associated with Bowling Green?
Public fields place SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC around Bowling Green, Kentucky. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC is noted as September 26, 2007 where the registry provides it.

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