Organization
BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC
Active
Other names
BCTC Dental Hygiene Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M CAROLYN WILSON DMD (CLINIC DENTIST COVERING FOR A DENTA)
(859) 246-6857
Entity
Organization
Contact information
Practice address
470 COOPER DRIVE, 250 OSWALD BUILDING, LEXINGTON, KY 40506
(859) 246-6857
(859) 246-4667
Mailing address
470 COOPER DRIVE, 250 OSWALD BUILDING, LEXINGTON, KY 40506
(859) 246-6857
(859) 246-4667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6562
KY
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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