| Bluegrass Dental Anesthesia, Llc | |
|
3001 Hayfield Dr Louisville KY 40205-2809 | |
| (408) 314-4968 | |
| Not Available |
| Full Name | Bluegrass Dental Anesthesia, Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 3001 Hayfield Dr, Louisville, Kentucky |
| Authorized Official Name and Position | David Guthrie (MANAGER/ DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 4083144968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Dental Anesthesia, Llc 3001 Hayfield Dr Louisville KY 40205-2809 Ph: (408) 314-4968 | Bluegrass Dental Anesthesia, Llc 3001 Hayfield Dr Louisville KY 40205-2809 Ph: (408) 314-4968 |
| NPI Number | 1710679105 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710679105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
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