1. Home
  2. Directory
  3. Kentucky
  4. Beaver Dam
  5. Dentist
  6. NPI Profile

BLUEGRASS FAMILY DENTISTRY, PLLC
NPI 1093241796
Dentist in Beaver Dam, KY

Active since May 02, 2017
1317 N MAIN ST, BEAVER DAM, KY 42320(270) 775-6063(270) 775-6123 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bluegrass Family Dentistry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS FAMILY DENTISTRY, PLLC (NPI 1093241796) is a healthcare organization registered as a dentist in Beaver Dam, Kentucky and active in the NPI registry since May 2017. The organization lists Kelsey Diane Johnson, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1093241796
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBLUEGRASS FAMILY DENTISTRY, PLLC
Location Address1317 N MAIN STBeaver Dam, KY 42320-8957
Mailing AddressPo Box 535Beaver Dam, KY 42320-0535 · (270) 775-6063 · Fax (270) 775-6123
Phone(270) 775-6063
Fax(270) 775-6123
Organization SubpartNo
Authorized OfficialKelsey Diane JohnsonOwner/member · (270) 256-3967
Enumeration DateMay 2, 2017
✔ NPI 1093241796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 9595
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1317 N MAIN ST, Beaver Dam, KY 42320
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELSEY DIANE JOHNSON D.M.D.
Dentist
1317 N MAIN ST
BEAVER DAM, KY 42320
Ohio County (270) 274-5121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Family Dentistry, PLLC's NPI number?

The NPI number for Bluegrass Family Dentistry, PLLC is 1093241796. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Bluegrass Family Dentistry, PLLC located?

Bluegrass Family Dentistry, PLLC is located at 1317 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 775-6063.

What is Bluegrass Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bluegrass Family Dentistry, PLLC was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.