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1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 | |
| (270) 393-9925 | |
| (270) 393-9928 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1830 Destiny Ln Ste 119, Bowling Green, Kentucky |
| Authorized Official Name and Position | Jeffrey Scott Barbee (DR.) |
| Authorized Official Contact | 2703939925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 Ph: (270) 393-9925 | 1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 Ph: (270) 393-9925 |
| NPI Number | 1740564855 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740564855 | NPI | - | NPPES |
| 60003738 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8194 (Kentucky) | Primary |
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