BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN (NPI# 1750555033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750555033 |
| Entity Type | Organization |
| Organization Name | BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN |
| Other Organization Name | BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN |
| Practice Address |
304 West Ohio St. Morgantown KY 42261 |
| Practice Telephone | 2705263346 |
| Practice Fax Number | 2707816129 |
| Mailing Telephone | 2705263346 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. ANDREW MADISON BURT (DR./OWNER) |
| Authorized Official Telephone | 2705263346 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7273 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Bluegrass Oral Health Center Of Morgantown | Other Name - Individual/Organization |
| Street Address |
304 WEST OHIO ST. |
| City | MORGANTOWN |
| State | KY |
| Zip Code | 42261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629566500 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 1118 S. Main St., Suite 3, Morgantown, KY 42261 | 2018-04-26 |
| 1437663846 | Ack Healthcare Management LLC | Nurse Practitioner | 1116 S Main St Ste 5, Morgantown, KY 42261 | 2017-11-21 |
| 1477076735 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 205 W Gl Smith St, Morgantown, KY 42261 | 2017-07-19 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1114330867 | Shannon Logan | Pharmacist | 205 West G. L. Smith Street, Morgantown, KY 42261 | 2014-06-10 |
| 1215227897 | Robert Henry Campbell | Pharmacist | 205 West G.l. Smith St., Morgantown, KY 42261 | 2011-04-15 |
| 1285924076 | Dale Ervin Beaty | Pharmacist | 205 West G L Smith Street, Morgantown, KY 42261 | 2011-04-13 |
| 1003121153 | Sharon J Douglas | Marriage & Family Therapist | 213 West Ohio St., Morgantown, KY 42261 | 2010-08-13 |
| 1619168994 | Lp Morgantown LLC | Durable Medical Equipment & Medical Supplies | 201 S Warren St, Morgantown, KY 42261 | 2007-08-05 |
| 1891836524 | Wiggins Drugs Limited | Pharmacy | 255 W Gl Smith St, Morgantown, KY 42261 | 2007-02-08 |
| Find all providers in zip 42261 | ||||
| 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 |
|---|---|---|---|---|
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1467800417 | Cheat Lake Family Dentistry | Dentist | 230 Lakewood Ctr, Morgantown, WV 26508-4457 | 2016-06-01 |
| 1639502354 | Amanda Sue Knestrick | Dentist | 27 Clear Spring Dr, Morgantown, WV 26508-3202 | 2013-08-16 |
| 1154766582 | Donald Sauter | Dentist | West Virginia University School of Dentistry, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9495 | 2013-04-29 |
| 1215224738 | Gabriel Martin Holley | Dentist | 998 Ashton Pl, Morgantown, WV 26508-6874 | 2011-07-05 |
| 1356503049 | Joseph Greg Wrobleski | Dentist | 1302 4 H Camp Rd, Morgantown, WV 26508-2455 | 2008-06-25 |
| 1932366473 | Rudainah Aloufan | Dentist | 1335 Stewartstown Rd Apt L1, Morgantown, WV 26505-2972 | 2008-05-21 |
| 1013193598 | Ralph M Shahan | Dentist | 196 Donna Ave, Morgantown, WV 26505-2884 | 2008-01-15 |
| 1528250198 | Carly Lynn Lemley | Dentist | 6260 Mid Atlantic Rd, Morgantown, WV 26508-4293 | 2007-08-16 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 42261 |
Please comment or provide details below to improve the information on BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN.
| 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.