| Destiny Dental | |
|
1720 Destiny Ln Bowling Green KY 42104-1063 | |
| (270) 842-3554 | |
| (270) 781-4644 |
| Full Name | Destiny Dental |
|---|---|
| Speciality | Dentist |
| Location | 1720 Destiny Ln, Bowling Green, Kentucky |
| Authorized Official Name and Position | Gina Renee Davis (DENTIST) |
| Authorized Official Contact | 2708423554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Dental 1720 Destiny Ln Bowling Green KY 42104-1063 Ph: (270) 842-3554 | Destiny Dental 1720 Destiny Ln Bowling Green KY 42104-1063 Ph: (270) 842-3554 |
| NPI Number | 1134323165 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134323165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6708 (Kentucky) | Primary |
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