Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Commonwealth Oral and Maxillofacial Surgery, PSC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1922480250

Commonwealth Oral and Maxillofacial Surgery, PSC is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6520 Glenridge Park Pl Ste 7
Louisville, KY 40222-3455
Phone: (502) 423-7822
Fax: (502) 423-7830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 8588 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 8588 (KY)

Record details

NPI number1922480250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Acord — Owner, President · (502) 423-7822
Other names Commonwealth Oral Surgery
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 23, 2015
Mailing address6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455

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