Bluegrass Community & Technical College Dental Hygiene Clinic

NPI #1376754655 in Lexington, Kentucky

Provider Information

NPI Number: 1376754655
Entity Type: Organization
Organization Name: Bluegrass Community & Technical College Dental Hygiene Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 470 COOPER DRIVE
Address 2: 250 OSWALD BUILDING
City: Lexington
State: Kentucky
ZIP Code: 40506
Phone: (859) 246-6857

Authorized Official

Name: DR. M CAROLYN WILSON, DMD
Title: CLINIC DENTIST COVERING FOR A DENTA
Phone: (859) 246-6857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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