| Bluegrass Oral & Maxillofacial Surgery Psc | |
|
1401 Harrodsburg Road Suite B395 Lexington KY 40504 | |
| (859) 278-5377 | |
| (859) 278-0903 |
| Full Name | Bluegrass Oral & Maxillofacial Surgery Psc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1401 Harrodsburg Road, Lexington, Kentucky |
| Authorized Official Name and Position | William J Barker (PRESIDENT) |
| Authorized Official Contact | 8592785377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Oral & Maxillofacial Surgery Psc 1401 Harrodsburg Road Suite B395 Lexington KY 40504 Ph: (859) 278-5377 | Bluegrass Oral & Maxillofacial Surgery Psc 1401 Harrodsburg Road Suite B395 Lexington KY 40504 Ph: (859) 278-5377 |
| NPI Number | 1922115625 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901878685 |
|---|---|
| Medicare Enrollment ID | O20040812000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922115625 | NPI | - | NPPES |
| 65939365 | Other | MEDICAL | |
| 61900734 | Other | MEDICAID DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 6088 (Kentucky) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 6088 (Kentucky) | Primary |
| Provider Name | William J Barker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063420032 PECOS PAC ID: 4880666569 Enrollment ID: I20101115000096 |
Steckler Family Dre Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 Larkin Rd Ste 201, Lexington, KY 40503 Phone: 859-278-6009 | |
Joseph L. Hill Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1081 Dove Run Rd, Lexington, KY 40502 Phone: 859-266-9464 | |
Audubon Dental & Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 S Broadway, Lexington, KY 40504 Phone: 859-252-5220 Fax: 859-252-0405 | |
Veterans Park Dre Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4384 Clearwater Way Ste 110, Lexington, KY 40515 Phone: 859-272-0800 | |
Doyle & Baker Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4009 Nicholasville Road, Lexington, KY 40503 Phone: 859-272-3773 Fax: 859-245-4188 | |
Robert H. Morris, Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Nicholasville Rd, Lexington, KY 40503 Phone: 859-277-5759 Fax: 859-278-3817 | |
Adkins Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 Old Rosebud Road, Ste.# 210, Lexington, KY 40509 Phone: 859-543-0333 Fax: 859-543-0774 |