Organization · Type 2 NPI
Bluegrass Dental Anesthesia, LLC
Dental Anesthesiology · Louisville, KY
Practice location
3001 Hayfield Dr
Louisville, KY 40205-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | None listed |
| Anesthesiology Physician | 207L00000X | None listed |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1710679105
Bluegrass Dental Anesthesia, LLC's National Provider Identifier is 1710679105, issued on May 23, 2023. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Louisville, KY. The record was last updated on May 23, 2023.