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

Kentucky Center for Oral & Maxillofacial Surgery

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1740323633

Kentucky Center for Oral & Maxillofacial Surgery is an Oral & Maxillofacial Surgery (D.M.D.) in Richmond, Kentucky. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4097 Atwood Dr
Richmond, KY 40475-2454
Phone: (859) 623-7711
Fax: (859) 624-2611
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1740323633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reda Vaughn — Office Manager · (859) 278-9376
NPI enumeratedFebruary 14, 2007
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address3159 Beaumont Centre Circle, Suite 110, Lexington, KY 40513-1934