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

Kentucky Center for Oral & Maxillofacial Surgery PSC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1457379307

Kentucky Center for Oral & Maxillofacial Surgery PSC is an Oral and Maxillofacial Surgery (Dentist) in Richmond, 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.

See every abbreviation used in this directory →

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 and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (KY)

Record details

NPI number1457379307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reda Vaughn — Business Office Manager · (859) 278-9376
NPI enumeratedJuly 18, 2006
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address3159 Beaumont Centre Cir Ste 110, Lexington, KY 40513-1968