Pediatric Dentistry Of Bowling Green | |
1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 | |
(270) 393-9925 | |
(270) 393-9928 |
Full Name | Pediatric Dentistry Of Bowling Green |
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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 |
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Pediatric Dentistry Of Bowling Green 1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 Ph: (270) 393-9925 | Pediatric Dentistry Of Bowling Green 1830 Destiny Ln Ste 119 Bowling Green KY 42104-1089 Ph: (270) 393-9925 |
NPI Number | 1740564855 |
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Provider Enumeration Date | 10/07/2011 |
Last Update Date | 10/07/2011 |
Identifier | Type | State | Issuer |
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1740564855 | NPI | - | NPPES |
60003738 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 8194 (Kentucky) | Primary |
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