Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Family Dentistry, PLLC

Organization Dentist · NPI 1093241796

Bluegrass Family Dentistry, PLLC is a Dentist 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

Other providers in Beaver Dam