| Bluegrass Pediatric Dentistry | |
|
120 Meridian Way Suite 2 Richmond KY 40475 | |
| (859) 626-1810 | |
| Not Available |
| Full Name | Bluegrass Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 120 Meridian Way, Richmond, Kentucky |
| Authorized Official Name and Position | Jeffrey Lucas Bowen (DENTIST) |
| Authorized Official Contact | 8596261810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Pediatric Dentistry 120 Meridian Way Suite # 2 Richmond KY 40475 Ph: (859) 626-1810 | Bluegrass Pediatric Dentistry 120 Meridian Way Suite 2 Richmond KY 40475 Ph: (859) 626-1810 |
| NPI Number | 1619284148 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619284148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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