Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8728 | KY |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8728 | KY |
N | 204E00000X | Oral & Maxillofacial Surgeon | 48554 | KY |
NPI | 1366676603 |
---|---|
Provider Name | Dr. William Michael Sexton |
First Address | Mt Sterling, KY 40353-1267 |
Second Address | Mt Sterling, KY 40353-1267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 19/01/2017 |