# BLUEGRASS ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437541208
- **Authorized official:** DR. STEPHEN DOUGLAS COX D.M.D., M.S. (PARTNER)
- **Authorized official phone:** (859) 277-1124

## Contact information

- **Practice address:** 1636 NICHOLASVILLE RD, SUITE 2, LEXINGTON, KY 40503-1432
- **Practice address phone:** (859) 277-1124
- **Mailing address:** 1636 NICHOLASVILLE RD, SUITE 2, LEXINGTON, KY 40503-1432
- **Mailing address phone:** (859) 277-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 7212 | KY | Yes |
| 1223E0200X | Endodontics | 7849 | KY | — |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015
