Bluegrass Oral Health Center Pllc
NPI #1104224849 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1104224849
- Entity Type
- Organization
- Organization Name
- Bluegrass Oral Health Center Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 11, 2014
- Last Updated
- Dec 11, 2014
Practice Location
- Address
- 546 PARK ST
- Address 2
- SUITE 400
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-1780
- Phone
- (270) 781-6161
Authorized Official
- Name
- DR. ANDREW M BURT, DMD
- Title
- OWNER/DENTIST
- Phone
- (270) 781-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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