# BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC

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

## Provider details

- **NPI number:** 1922115625
- **Authorized official:** WILLIAM J BARKER DMD (PRESIDENT)
- **Authorized official phone:** (859) 278-5377

## Contact information

- **Practice address:** 1401 HARRODSBURG ROAD, SUITE B395, LEXINGTON, KY 40504
- **Practice address phone:** (859) 278-5377
- **Practice address fax:** (859) 278-0903
- **Mailing address:** 1401 HARRODSBURG ROAD, SUITE B395, LEXINGTON, KY 40504
- **Mailing address phone:** (859) 278-5377
- **Mailing address fax:** (859) 278-0903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 6088 | KY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 6088 | KY | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 09/11/2025