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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1790575736

Kentucky Oral and Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Works from 4 locations. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

3101 Breckenridge Ln Ste 2D
Louisville, KY 40220-2742
Phone: (502) 459-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4040 Dixie Hwy Ste 103, Louisville, KY 40216-3875 — (502) 459-8012
  • 4229 Bardstown Rd, Louisville, KY 40218-3241 — (502) 491-5990
  • 13833 English Villa Dr, Louisville, KY 40245-3994 — (502) 459-8012

Specialties & licences

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

Record details

NPI number1790575736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Holloway — Director Of Rcm · (854) 200-7970
Other names Greater Louisville Oral & Maxillofacial Surgery Associates; Jame Klemens Dds, Md
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address3700 Ingleside Blvd, Ladson, SC 29456-4141

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