BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC
Organization (NPI-2)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1922115625- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1401 HARRODSBURG ROAD SUITE B395, LEXINGTON, KY, 40504
- Phone
- (859) 278-5377
- Fax
- (859) 278-0903
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
License: KY #6088
Oral & Maxillofacial Surgery
Primary License: KY #6088