Bluegrass Community & Technical College Dental Hygiene Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6562 Issued in KY

Legal business name

BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC

Practice address

470 Cooper Drive
250 Oswald Building
Lexington, KY 40506

Phone

(859) 246-6857

Fax

(859) 246-4667

NPI assigned

May 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. M Carolyn Wilson, DMD

Title

Clinic Dentist Covering for a Denta

Phone

(859) 246-6857

Specialties & licenses 1

Addresses

Other names 1

• BCTC Dental Hygiene Clinic Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376754655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 COOPER DRIVE",
            "address_2": "250 OSWALD BUILDING",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40506",
            "telephone_number": "859-246-6857",
            "fax_number": "859-246-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COOPER DRIVE",
            "address_2": "250 OSWALD BUILDING",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40506",
            "telephone_number": "859-246-6857",
            "fax_number": "859-246-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS COMMUNITY & TECHNICAL COLLEGE DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "CLINIC DENTIST COVERING FOR A DENTA",
        "authorized_official_telephone_number": "859-246-6857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCTC Dental Hygiene Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.