# ANDREW M BURT DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluegrass Oral Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942579172
- **Authorized official:** DR. ANDREW MADISON BURT DMD (OWNER / DR.)
- **Authorized official phone:** (270) 781-6161

## Contact information

- **Practice address:** 546 PARK ST STE 400, BOWLING GREEN, KY 42101-1780
- **Practice address phone:** (270) 781-6161
- **Mailing address:** 546 PARK ST STE 400, BOWLING GREEN, KY 42101-1780
- **Mailing address phone:** (270) 781-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7273 | KY | Yes |

## Other

- **Enumeration date:** 12/16/2011
- **Last updated:** 12/16/2011