| Bluegrass Oral Surgery & Dental Implant Center | |
|
120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 | |
| (502) 348-1155 | |
| (502) 348-3277 |
| Full Name | Bluegrass Oral Surgery & Dental Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 120 W Stephen Foster Ave Ste 107, Bardstown, Kentucky |
| Authorized Official Name and Position | Romeo Nantes Laureano (OWNER/PRESIDENT) |
| Authorized Official Contact | 5023481155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Oral Surgery & Dental Implant Center 120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 Ph: (502) 348-1155 | Bluegrass Oral Surgery & Dental Implant Center 120 W Stephen Foster Ave Ste 107 Bardstown KY 40004-1457 Ph: (502) 348-1155 |
| NPI Number | 1750552733 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750552733 | NPI | - | NPPES |
| 64070992 | Medicaid | KY | |
| 000000113034 | Other | KY | BLUE CROSS |
| 60070992 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
Bardstown On Call Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 N 3rd St, Bardstown, KY 40004 Phone: 502-349-3289 Fax: 502-348-7260 | |
Osbourne Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Chambers Blvd Ste A, Bardstown, KY 40004 Phone: 502-348-6404 | |
Proctor Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E John Rowan Blvd, Bardstown, KY 40004 Phone: 502-348-2589 | |
Davis Cosmetic And Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E Flaget St, Bardstown, KY 40004 Phone: 502-836-2830 | |
Hunt Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E John Rowan Blvd Ste 101, Bardstown, KY 40004 Phone: 502-348-2589 | |
Bardstown Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Morton Ave Ste 200, Bardstown, KY 40004 Phone: 502-348-9944 Fax: 502-348-9734 | |
Mortenson Family Dental Center - Bardstown, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 Portland Ave, Bardstown, KY 40004 Phone: 502-348-7378 |