BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC; NPI #1922115625

Contact Information

BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

1401 HARRODSBURG ROAD
SUITE B395
LEXINGTON, KY 40504

Phone: 859-278-5377
Fax: 859-278-0903
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Pathology	1223P0106X

Indicates primary specialty

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NPI Profile & details for BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

NPI Number 1922115625

LBN Legal business name BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

Authorized official WILLIAM BARKER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

KY	License #	6088
	Other	61900734	MEDICAID DENTAL
	Other	65939365	MEDICAL

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Pathology

NPI Profile & details for BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

Reviews for BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC