| Bluegrass Orthodontics Psc | |
|
620 Perimeter Dr #207 Lexington KY 40517 | |
| (859) 268-1190 | |
| (859) 266-9579 |
| Full Name | Bluegrass Orthodontics Psc |
|---|---|
| Speciality | Dentist |
| Location | 620 Perimeter Dr, Lexington, Kentucky |
| Authorized Official Name and Position | David Stanford Ferguson (PARTNER) |
| Authorized Official Contact | 8592681190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Orthodontics Psc 620 Perimeter Dr #207 Lexington KY 40517 Ph: (859) 268-1190 | Bluegrass Orthodontics Psc 620 Perimeter Dr #207 Lexington KY 40517 Ph: (859) 268-1190 |
| NPI Number | 1801903554 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801903554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3913 (Kentucky) | Secondary |
| 122300000X | Dentist | 6707 (Kentucky) | Secondary |
| 122300000X | Dentist | 5024 (Kentucky) | Primary |
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