BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC – NPI #1922115625
Oral & Maxillofacial Surgery
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC is an oral & maxillofacial surgeon located in LEXINGTON, KY. NPPES has assigned the NPI number 1922115625 to BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC on August 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC below.
NPI Profile for
BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC
(about 20 years ago)
SUITE B395
LEXINGTON, KY 40504 Phone: (859) 278-5377 Fax: (859) 278-0903
PRESIDENT
Phone: (859) 278-5377
Identifiers for BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICAID DENTAL | 61900734 | |
| other | MEDICAL | 65939365 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 204E00000X - Oral & Maxillofacial Surgery (Primary) |
KY | 6088 |
| 1223P0106X - Dentist / Oral and Maxillofacial Pathology |
KY | 6088 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.