MEDICARE: DR. WILLIAM MICHAEL SEXTON D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	8728	KY
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	8728	KY
3	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	48554	KY

General Provider Information

NPI Number	:	1366676603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MICHAEL SEXTON D.M.D

Provider Business Mailing Address
First Line	:	25 E HIGH ST
Second Line	:
City	:	MT STERLING
State	:	KY
Zip	:	40353-1267
Country	:	US
Telephone Number	:	859-498-6204
Fax Number	:	859-498-6205

Provider Business Practice Location Address
First Line	:	25 E HIGH ST
Second Line	:
City	:	MT STERLING
State	:	KY
Zip	:	40353-1267
Country	:	US
Telephone Number	:	859-498-6204
Fax Number	:	859-498-6205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	02/17/2026

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