| Bowling Green Pediatric Dentistry Pllc | |
|
1687 Brianna Ct Bowling Green KY 42104-5380 | |
| (270) 316-7555 | |
| (270) 715-0931 |
| Full Name | Bowling Green Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1687 Brianna Ct, Bowling Green, Kentucky |
| Authorized Official Name and Position | Matthew Damin (OWNER) |
| Authorized Official Contact | 2703167555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowling Green Pediatric Dentistry Pllc 1687 Brianna Ct Bowling Green KY 42104-5380 Ph: (270) 316-7555 | Bowling Green Pediatric Dentistry Pllc 1687 Brianna Ct Bowling Green KY 42104-5380 Ph: (270) 316-7555 |
| NPI Number | 1962010611 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962010611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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