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Contact Information

BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN
304 WEST OHIO ST.
MORGANTOWN, KY42261
 Phone: 270-526-3346
 Fax: 270-781-6129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN

NPI Number 1750555033
LBN Legal business name BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN
Authorized official ANDREW BURT - (DR./OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 06/17/2008 - About 18 years ago
Identifiers
KY License # 7273
KY Medicaid PENDING
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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