Organization
BLUEGRASS ORTHODONTICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STANFORD FERGUSON DMD MS (PARTNER)
(859) 268-1190
Entity
Organization
Contact information
Practice address
620 PERIMETER DR, #207, LEXINGTON, KY 40517
(859) 268-1190
(859) 266-9579
Mailing address
620 PERIMETER DR, #207, LEXINGTON, KY 40517
(859) 268-1190
(859) 266-9579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3913
KY
122300000X
Dentist
Primary
5024
KY
122300000X
Dentist
6707
KY
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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