Southern Kentucky Oral Surgery Associates Pllc - Medicare Dental Clinic in Bowling Green, KY

Southern Kentucky Oral Surgery Associates Pllc is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Bowling Green, Kentucky. The current practice location for Southern Kentucky Oral Surgery Associates Pllc is 1802 Rockingham Ave, Bowling Green, Kentucky. For appointments, you can reach them via phone at (270) 783-0064. The mailing address for Southern Kentucky Oral Surgery Associates Pllc is 1802 Rockingham Ave, Bowling Green, Kentucky and phone number is () -.

Southern Kentucky Oral Surgery Associates Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013104892. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (270) 783-0064.

Contact Information

Southern Kentucky Oral Surgery Associates Pllc
1802 Rockingham Ave
Bowling Green
KY 42104-3348
(270) 783-0064
Not Available

Dental Care Clinic Profile

Full NameSouthern Kentucky Oral Surgery Associates Pllc
SpecialityDentist
Location1802 Rockingham Ave, Bowling Green, Kentucky
Authorized Official Name and PositionVickie Alvey (CREDENTIALING COORDINATOR)
Authorized Official Contact2707830064
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Kentucky Oral Surgery Associates Pllc
1802 Rockingham Ave
Bowling Green
KY 42104-3348

Ph: () -
Southern Kentucky Oral Surgery Associates Pllc
1802 Rockingham Ave
Bowling Green
KY 42104-3348

Ph: (270) 783-0064

NPI Details:

NPI Number1013104892
Provider Enumeration Date09/26/2007
Last Update Date09/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5193776425
Medicare Enrollment IDO20050203000829

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Medical Identifiers

Medical identifiers for Southern Kentucky Oral Surgery Associates Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013104892NPI-NPPES
7100049450MedicaidKY
7100049460MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0106XDentist - Oral And Maxillofacial Pathology (* (Not Available))Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Kentucky Oral Surgery Associates Pllc acts as a billing entity for following providers:
Provider NameJerry E Cohron
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1891843504
PECOS PAC ID: 9931135456
Enrollment ID: I20050715000036

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Provider NameJames M Sutton
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1316916463
PECOS PAC ID: 6800944026
Enrollment ID: I20090428000233

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Provider NameJeffrey M Clark
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1649261850
PECOS PAC ID: 0446449862
Enrollment ID: I20110114000721

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Provider NameMichael D Foster
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1962474304
PECOS PAC ID: 7113020652
Enrollment ID: I20151001001208

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Provider NameShane A Williams
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1437315272
PECOS PAC ID: 1153699475
Enrollment ID: I20170609000990

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Dental Clinics in Bowling Green, KY

Crosswinds Dental Care
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Ashley St, Suite B, Bowling Green, KY 42103
Phone: 270-783-3177    Fax: 270-783-3090
Michael W. Howell, D.m.d.
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 952 Us 31 W Bypass, Bowling Green, KY 42102
Phone: 270-782-9052    Fax: 270-843-3081
Hartland Family Dental Care
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Ashley St, Suite A, Bowling Green, KY 42103
Phone: 270-793-0703    Fax: 270-793-0740
Sky Pediatric Dentistry
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 234 Natchez Trace Ave, Bowling Green, KY 42103
Phone: 270-715-5437    Fax: 270-715-0032
Bluegrass Oral Health Center Pllc
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 546 Park St, Suite 400, Bowling Green, KY 42101
Phone: 270-781-6161    Fax: 270-781-6129
The Dental Clinic
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 740 E 10th Ave, Bowling Green, KY 42101
Phone: 270-781-9765    Fax: 270-782-6461

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