| Commonwealth Dental | |
|
996 Wilkinson Tace Suite B6 Bowling Green KY 42103 | |
| (270) 782-1128 | |
| (270) 782-1117 |
| Full Name | Commonwealth Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 996 Wilkinson Tace, Bowling Green, Kentucky |
| Authorized Official Name and Position | Gregory Bryan Fort (SENIOR DENTIST) |
| Authorized Official Contact | 2707821128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dental 996 Wilkinson Tace Suite B6 Bowling Green KY 42103 Ph: (270) 782-1128 | Commonwealth Dental 996 Wilkinson Tace Suite B6 Bowling Green KY 42103 Ph: (270) 782-1128 |
| NPI Number | 1699819136 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699819136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5683 (Kentucky) | Primary |
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