Green River Oral Surgery
Green River Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Henderson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.
- Licensed in
- KY
- In the registry since
- 2012
Practice location Address checks out
801 N Elm StHenderson, KY 42420-2705
Phone: (270) 212-0330
Fax: (270) 212-0332
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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 7298 (KY) |
|---|
Record details
| NPI number | 1750638334 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Wagoner — Owner · (570) 814-3085 |
| NPI enumerated | August 13, 2012 |
| Last updated in NPPES | August 13, 2012 |
| Mailing address | 801 N Elm St, Henderson, KY 42420-2705 |
Other providers in Henderson
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Dr. Robert Gene Wagoner II, DMDMD
801 N Elm St, Henderson, KY 42420-2705 · (270) 212-0330