Organization · Type 2 NPI

Pediatric Dentistry of Southern Kentucky

Pediatric Dentistry · Bowling Green, KY

NPI number 1083067482 Active

Practice location

234 Natchez Trace Ave
Bowling Green, KY 42103-7995

Call (270) 715-5437 Map

Fax (270) 715-0032

Other practice locations

280 Burley Ave, Hopkinsville, KY 42240-8725 · (270) 874-4971

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	9156 (KY)

Pediatric Dentistry: 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.

2 other providers at this address

Other pediatric dentistry providers in Bowling Green

See all in Bowling Green →

NPI record

NPI: 1083067482
Entity type: Organization (Type 2)
Issued: Jul 20, 2016
Last updated: Jun 26, 2019
Status: Active

Other names

<unavail>
Sky Pediatric Dentistry · doing business as
Sky Pediatric Dentistry · doing business as

Authorized official

Mrs. Shannon Pattee
Billing Manager
(270) 715-5437

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083067482

Pediatric Dentistry of Southern Kentucky's National Provider Identifier is 1083067482, issued on Jul 20, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bowling Green, KY. The record was last updated on Jun 26, 2019.