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Green River Oral Surgery

Oral and Maxillofacial Surgery (Dentist) in Henderson, KY · enumerated 2012 · authorized official Robert Wagoner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750638334

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Registry record

Entity type Organization (Type 2)
Legal business name Green River Oral Surgery
Practice address 801 N Elm St, Henderson, KY, 42420
Phone (270) 212-0330
Fax (270) 212-0332
Enumeration date Aug 13, 2012
Last updated in NPPES Aug 13, 2012

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 7298 (KY) Primary

Authorized official

Name Robert Wagoner
Title Owner
Phone (570) 814-3085

Other identifiers

Identifier Type State Issuer
64063514 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Green River Oral Surgery?
Green River Oral Surgery is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-13.