# B C DENTAL

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

## Provider details

- **NPI number:** 1962147009
- **Authorized official:** MRS. MARTHA R SMITH (PRACTICE ADM)
- **Authorized official phone:** (270) 746-1871

## Contact information

- **Practice address:** 865 S DIXIE HWY, MUNFORDVILLE, KY 42765-9203
- **Practice address phone:** (270) 524-5580
- **Practice address fax:** (270) 715-1198
- **Mailing address:** 865 S DIXIE HWY, MUNFORDVILLE, KY 42765-9203
- **Mailing address phone:** (270) 524-5580
- **Mailing address fax:** (270) 715-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 10/28/2022