| Chandler Park Dental Care | |
|
1857 Tucker Way Bowling Green KY 42104-6258 | |
| (270) 781-2952 | |
| (270) 793-0977 |
| Full Name | Chandler Park Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1857 Tucker Way, Bowling Green, Kentucky |
| Authorized Official Name and Position | Eli O Jackson (OWNER) |
| Authorized Official Contact | 2707812952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Park Dental Care 1857 Tucker Way Bowling Green KY 42104-6258 Ph: (270) 781-2952 | Chandler Park Dental Care 1857 Tucker Way Bowling Green KY 42104-6258 Ph: (270) 781-2952 |
| NPI Number | 1447638168 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447638168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5450 (Kentucky) | Primary |
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