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

Georgetown Oral and Facial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1609000272

Georgetown Oral and Facial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Darby Dr Ste 101
Georgetown, KY 40324-8715
Phone: (502) 863-5858
Fax: (859) 971-9722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7379 (KY)

Record details

NPI number1609000272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Henderson — Office Manager · (859) 971-9722
NPI enumeratedMay 11, 2009
Last updated in NPPESJune 2, 2009
Mailing address972 Fiddler Creek Way, Lexington, KY 40515-6460

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