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BLUEGRASS PEDIATRIC DENTISTRY
NPI 1619284148
Dentist - Pediatric Dentistry in Richmond, KY

Active since September 03, 2010
120 MERIDIAN WAY, SUITE 2, RICHMOND, KY 40475(859) 626-1810 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bluegrass Pediatric Dentistry NPPES

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

BLUEGRASS PEDIATRIC DENTISTRY (NPI 1619284148) is a healthcare organization registered as a pediatric dentistry in Richmond, Kentucky and active in the NPI registry since September 2010. The organization lists Jeffrey Lucas Bowen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619284148
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLUEGRASS PEDIATRIC DENTISTRY
Location Address120 MERIDIAN WAY, SUITE 2Richmond, KY 40475
Mailing Address120 Meridian Way, Suite # 2Richmond, KY 40475 · (859) 626-1810
Phone(859) 626-1810
Organization SubpartNo
Authorized OfficialJeffrey Lucas BowenDentist · (859) 626-1810
Enumeration DateSeptember 3, 2010
Last NPPES UpdateJune 16, 2016
✔ NPI 1619284148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

120 MERIDIAN WAY, Richmond, KY 40475
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JOHN ZECHARIAH THOBABEN D.M.D.
Dentist (Pediatric Dentistry)
120 MERIDIAN WAY, SUITE 2
RICHMOND, KY 40475
Madison County (859) 361-8058
DR. JEFFREY LUCAS BOWEN D.M.D.
Dentist (Pediatric Dentistry)
120 MERIDIAN WAY, SUITE 2
RICHMOND, KY 40475
Madison County (859) 230-2633

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 Pediatric Dentistry's NPI number?

The NPI number for Bluegrass Pediatric Dentistry is 1619284148. It was assigned to this organization in the NPPES registry on September 3, 2010.

Where is Bluegrass Pediatric Dentistry located?

Bluegrass Pediatric Dentistry is located at 120 Meridian Way Suite 2, Richmond, KY 40475. The listed phone number is (859) 626-1810.

What is Bluegrass Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bluegrass Pediatric Dentistry was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.