Bluegrass Oral Surgery & Dental Implant Center
LBN: Romeo N. Laureano, D.M.D., P.S.C.
Bluegrass Oral Surgery & Dental Implant Center is an health care organization with primary practice located at 120 W Stephen Foster Ave Ste 107 , Bardstown KY 40004-1457. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Romeo N. Laureano, D.M.D., P.S.C. can be contacted via phone (502) 348-1155, or through Laureano, Romeo Nantes via phone (502) 348-1155.
Contact Information
Primary practice address
120 W Stephen Foster Ave Ste 107
Bardstown KY 40004-1457
Phone: (502) 348-1155
Fax: (502) 348-3277
Website:
Authorized official contact:
Name: Laureano, Romeo Nantes Doctor of Dental Medicine (DMD)
Phone: (502) 348-1155
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1750552733 |
|---|---|
| LBN Legal business name | Romeo N. Laureano, D.M.D., P.S.C. |
| DBA Doing business as | Bluegrass Oral Surgery & Dental Implant Center |
| Authorized official | Laureano, Romeo Nantes Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Mar 18th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750552733 | NPPES |
| Kentucky | MEDICAID | 64070992 | |
| Kentucky | Other | 000000113034 | |
| Kentucky | MEDICAID | 60070992 |
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