Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bluegrass Family Dentistry, PLLC

Organization Dentist · NPI 1093241796

Bluegrass Family Dentistry, PLLC provides Dentist services in Beaver Dam, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1317 N Main St
Beaver Dam, KY 42320-8957
Phone: (270) 775-6063
Fax: (270) 775-6123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9595 (KY)

Record details

NPI number1093241796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Johnson — Owner/Member · (270) 256-3967
NPI enumeratedMay 2, 2017
Last updated in NPPESMay 2, 2017
Mailing addressPo Box 535, Beaver Dam, KY 42320-0535

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