Organization
BLUEGRASS DENTAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GUTHRIE DMD (MANAGER/ DENTIST ANESTHESIOLOGIST)
(408) 314-4968
Entity
Organization
Contact information
Practice address
3001 HAYFIELD DR, LOUISVILLE, KY 40205-2809
(408) 314-4968
Mailing address
3001 HAYFIELD DR, LOUISVILLE, KY 40205-2809
(408) 314-4968
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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