| Bluegrass Oral Health Center Pllc | |
|
546 Park St Suite 400 Bowling Green KY 42101-1780 | |
| (270) 781-6161 | |
| (270) 781-6129 |
| Full Name | Bluegrass Oral Health Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 546 Park St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Andrew M Burt (OWNER/DENTIST) |
| Authorized Official Contact | 2707816161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Oral Health Center Pllc 546 Park St Suite 400 Bowling Green KY 42101-1780 Ph: (270) 781-6161 | Bluegrass Oral Health Center Pllc 546 Park St Suite 400 Bowling Green KY 42101-1780 Ph: (270) 781-6161 |
| NPI Number | 1104224849 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104224849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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