Organization
BURT & JACKSON DMD PLLC BLUEGRASS ORAL HEALTH CENTER OF MORGANTOWN
Active
Other names
Bluegrass Oral Health Center Of Morgantown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MADISON BURT D.M.D. (DR./OWNER)
(270) 526-3346
Entity
Organization
Contact information
Practice address
304 WEST OHIO ST., MORGANTOWN, KY 42261
(270) 526-3346
(270) 781-6129
Mailing address
304 WEST OHIO ST., MORGANTOWN, KY 42261
(270) 526-3346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7273
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
04/17/2008
Last updated
06/17/2008
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