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

Southern Kentucky Oral Surgery Associates PLLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1013104892

Southern Kentucky Oral Surgery Associates PLLC is an Oral and Maxillofacial Pathology Dentistry in Bowling Green, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1802 Rockingham Ave
Bowling Green, KY 42104-3348
Phone: (270) 783-0064
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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
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X

Record details

NPI number1013104892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Alvey — Credentialing Coordinator · (270) 783-0064
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address1802 Rockingham Ave, Bowling Green, KY 42104-3348

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