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

East Kentucky Oral & Maxillofacial Surgery, PSC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1962414680

East Kentucky Oral & Maxillofacial Surgery, PSC is an Oral and Maxillofacial Surgery (Dentist) in Pikeville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
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

387 Town Mountain Rd
Pikeville, KY 41501-1640
Phone: (606) 432-5983
Fax: (606) 432-9474
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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 7103 (KY)

Record details

NPI number1962414680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Street — Owner · (606) 432-5983
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2069, Pikeville, KY 41502-2069

Other providers in Pikeville