Sky Pediatric Dentistry | |
234 Natchez Trace Ave Bowling Green KY 42103-7995 | |
(270) 715-5437 | |
(270) 715-0032 |
Full Name | Sky Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 234 Natchez Trace Ave, Bowling Green, Kentucky |
Authorized Official Name and Position | Shannon Pattee (BILLING MANAGER) |
Authorized Official Contact | 2707155437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sky Pediatric Dentistry 234 Natchez Trace Ave Bowling Green KY 42103-7995 Ph: (270) 715-5437 | Sky Pediatric Dentistry 234 Natchez Trace Ave Bowling Green KY 42103-7995 Ph: (270) 715-5437 |
NPI Number | 1083067482 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 06/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083067482 | NPI | - | NPPES |
7100429210 | Medicaid | KY | |
7100232870 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 9156 (Kentucky) | Primary |
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