Tri-State Oral & Facial Surgery

LBN: Tri-State Oral & Facial Surgery
Tri-State Oral & Facial Surgery is an health care organization with primary practice located at 2844 Carter Ave , Ashland KY 41101-1917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Tri-State Oral & Facial Surgery can be contacted via phone (606) 329-1115, or through Courcho, Michael D. via phone (606) 329-1115.

Contact Information

Primary practice address
2844 Carter Ave Ashland KY 41101-1917
Phone: (606) 329-1115
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Courcho, Michael D. DMD, MD
Phone: (606) 329-1115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34851 Kentucky

Profile Details

NPI number 1154589216
LBN Legal business name Tri-State Oral & Facial Surgery
DBA Doing business as
Authorized official Courcho, Michael D. DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154589216 NPPES
Kentucky MEDICAID 61900452
Kentucky MEDICAID 65935769

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