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Oral surgeryGeneralNPI registry, August 2026

Kentuckiana Oral & Maxillofacial Surgery Assoc PSC

2800 Cannons Ln, Ste 200, Louisville, KY 40205

Phone on the registry record
As filed with CMS by the practice, last updated 6 February 2018. Not called or verified by us.

The registry record

NPI
1396737011
Registered as
Type-2 organization (not an individual dentist's personal NPI)
Dental categories
Oral surgery, General
Taxonomy codes
122300000X (Dentist); 1223S0112X (Oral and maxillofacial surgery)
Non-dental codes
204E00000X
Practice location
2800 Cannons Ln, Ste 200, Louisville, KY 40205
Telephone
(502) 454-4885
NPI issued
18 August 2005 (21 years ago)
Record updated
6 February 2018 (8 years ago)
NPI status
NPI active as reported by CMS 2026-08
Metro area
Louisville/Jefferson County, KY-IN (metropolitan area, Jefferson County)
State
Kentucky (1,243 registered practices)
Same address
Kentucky Dental Team PLLC
Map position
Census address match at street level
Snapshot
NPPES data dissemination file, 10 August 2026

What the record tells you

Kentuckiana Oral & Maxillofacial Surgery Assoc PSC is an NPI registry record for a dental organization at 2800 Cannons Ln, Ste 200 in Louisville, Kentucky 40205. CMS issued NPI 1396737011 on 18 August 2005, and the practice last updated its own entry on 6 February 2018. That was 8 years ago, so treat the phone number and the suite number as unconfirmed until someone answers.

It is registered under 2 dental taxonomy codes: Dentist (122300000X), Oral and maxillofacial surgery (1223S0112X). That puts it in 2 categories on this site, led by oral and maxillofacial surgery. A practice that registers more than one category is telling CMS it does more than one kind of dental work at this address, which is why it has a page here rather than a row. No other address in the registry carries this name, though a practice trading under a chain brand often registers each office under its own legal name, so check the brand as well. One other dental record shares the street address: Kentucky Dental Team PLLC.

Louisville holds 306 registered dental practices inside the Louisville/Jefferson County, KY-IN area, which has 397 in total on the Kentucky side and ranks 1st in the state. 24 of the Louisville records also register oral and maxillofacial surgery, so this is one of several local options in that category. Across the metro the mix runs general dentistry 51.9%, dental clinic or center 28.2%, pediatric dentistry 8.8%. The closest other registered practices are Kentucky Dental Team PLLC (0 miles, Louisville), East End Family Dental Center (0.7 miles, Louisville) and Davis Dental Center (0.8 miles, Louisville), with 2 more inside 1 miles.

On our figures a routine adult cleaning in Kentucky runs $82 to $108 cash and scaling and root planing $155 to $240 per quadrant, against a US average of $125. This practice's own prices are not in the registry and never will be: NPPES holds identifiers, not fees. Call (502) 454-4885 and ask for the cash price on code D1110, whether the exam and X-rays are included, and whether they run a membership plan if you have no insurance.

Nearest alternatives

The 5 closest registered dental practices to 2800 Cannons Ln, straight-line distance. Rows without a link are listed on their metro page rather than having one of their own.

PracticeCityDistanceCategoriesPhone on the record
Kentucky Dental Team PLLCLouisville, KY0 miPediatric(502) 813-8604
East End Family Dental CenterLouisville, KY0.7 miGeneral(502) 454-3758
Davis Dental CenterLouisville, KY0.8 miGeneral(502) 895-8577
Perelmuter & Goldberg OrthodonticsLouisville, KY0.8 miOrthodontics(502) 897-1112
Dupont Pediatric DentistryLouisville, KY1 miPediatric(502) 897-0625
What a cleaning costs in Kentucky
Routine cleaning
$82-$108
D1110 adult prophylaxis, cash
Deep cleaning
$155-$240
D4341 scaling and root planing, per quadrant
Against the US average
-24%
US routine average $125, deep $220 per quadrant

The benchmark to hold a quote from Kentuckiana Oral & Maxillofacial Surgery Assoc PSC against. All 50 states compared.

What to ask when you call

  1. The cash price for D1110, a routine adult cleaning, and whether the exam (D0120) and X-rays (D0274) are inside or outside that number.
  2. Whether you need scaling and root planing before a routine clean, and the per-quadrant price for D4341 or D4342 if so.
  3. Whether they run an in-house membership plan, and what it covers against what it costs a year.
  4. Whether they are taking new patients and how far out the next hygiene appointment is.
  5. The practice license, with your state dental board. An NPI is a billing identifier and proves nothing about licensing.
Browse and compare
All 397 practices in Louisville/Jefferson CountyKentucky dental practicesDirectory homeWhat a dental cleaning costsCost without insuranceCost with insuranceDeep cleaning cost
Where this comes from

CMS NPPES NPI data file, August 2026, snapshot 10 August 2026. US federal public data (FOIA-disclosable, no charge). CMS NPI files. NPI registry records, status as reported by CMS in the August 2026 data dissemination file. NPPES is an identifier registry, not a license register: an NPI does not validate that a practice is licensed, accredited or currently open. Practices maintain their own NPPES entries. Every page shows the date the record was last updated; addresses and phone numbers are as self-reported and are not verified by us. This page describes a registry record. It is not a review, an endorsement or a check on Kentuckiana Oral & Maxillofacial Surgery Assoc PSC.

Price figures are our own, last verified April 2026. State averages are our estimates compiled from FAIR Health regional cost data and CMS Medicare fee schedules; the ADA discontinued its national Survey of Dental Fees in 2023, so no national fee survey exists. Treat them as a starting point and call two or three offices for an actual quote.

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Updated 2026-04-27