BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC (NPI# 1376754655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376754655 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC |
| Other Organization Name | BCTC DENTAL HYGIENE CLINIC |
| Practice Address |
470 Cooper Drive 250 Oswald Building Lexington KY 40506 |
| Practice Telephone | 8592466857 |
| Practice Fax Number | 8592464667 |
| Mailing Telephone | 8592466857 |
| Mailing Fax Number | 8592464667 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. M CAROLYN WILSON (CLINIC DENTIST COVERING FOR A DENTA) |
| Authorized Official Telephone | 8592466857 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6562 | KY | Dental Providers |
| Other Name | Type Code |
|---|---|
| BCTC Dental Hygiene Clinic | Other Name - Individual/Organization |
| Street Address |
470 COOPER DRIVE 250 OSWALD BUILDING |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124218 | Jennifer Bannister Murphy | Student in an Organized Health Care Education/Training Program | University of Kentucky Health Care, 115 Scovell Hall, Lexington, KY 40506 | 2019-03-20 |
| 1821591926 | Andrew Fozzard | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40506 | 2018-03-14 |
| 1407387731 | Jingkun Wang | Surgery | University of Kentucky, Lexington, KY 40506 | 2017-03-27 |
| 1427381078 | Heather D. Coleman | Nurse Practitioner | 800 Rose St, Lexington, KY 40506 | 2009-09-15 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1427613470 | Kossa Diomande | Physician Assistant | 100 Funkhouser Building, Lexington, KY 40506-0001 | 2019-05-06 |
| 1144795659 | Brianna Diantonio | Specialist/Technologist | 712 Sports Center Drive, Lexington, KY 40506-0001 | 2018-10-11 |
| 1649766593 | Mostafa Tabaa | Dentist | 800 Rose St Dental Science Building Room# D432, Lexington, KY 40506-0001 | 2018-07-03 |
| 1083119804 | Perry Hooper | Student in an Organized Health Care Education/Training Program | 900 South Limestone Ctw 304, Lexington, KY 40506-0001 | 2018-03-25 |
| 1780184283 | Christina Marie Boelter Jordan | Psychologist | University of Kentucky Counseling Center Frazee Hall, Lexington, KY 40506-0001 | 2018-02-20 |
| Find all providers in zip 40506 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518057 | Rachel Katherine Huffman | Dentist | 208 E Lowry Ln, Lexington, KY 40503-2615 | 2019-10-07 |
| 1922652767 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 16, Lexington, MA 02420-4440 | 2019-07-30 |
| 1265092860 | Laura Kathryn Frye | Dentist | 1 Weaver Dr Ste 1, Lexington, NC 27292-4774 | 2019-06-17 |
| 1275193732 | Turner Jo'steven O'brian | Dentist | 750 Shaker Dr Apt 526, Lexington, KY 40504-3750 | 2019-06-17 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1225530660 | Tates Creek Dental, Psc | Dentist | 4071 Tates Creek Centre Dr Ste 210, Lexington, KY 40517-3094 | 2018-03-01 |
| 1285155606 | Stephen Tyler Graul | Dentist | 431 Redding Rd # 110, Lexington, KY 40517-2534 | 2017-07-06 |
| 1316475304 | Al-harith M Shalash | Dentist | 2358 Nicholasville Rd Ste 156, Lexington, KY 40503-3041 | 2017-06-02 |
| 1932633005 | Adkins Family Dentistry Wellington | Dentist | 444 Lewis Hargett Cir, Suite 260, Lexington, KY 40503-3689 | 2017-04-17 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.