Pediatric Dentistry Of Southern Kentucky
Pediatric Dental Clinic
234 Natchez Trace Ave, Bowling Green
Kentucky, 42103-7995
270-715-5437 270-715-0032
Maps & DirectionsPediatric Dentistry Of Southern Kentucky is a Pediatric Dental Clinic in Bowling Green, Kentucky. It is located at 234 Natchez Trace Ave, Bowling Green, KY and its contact number is 270-715-5437. The authorized person for Pediatric Dentistry Of Southern Kentucky is Mrs. Shannon Pattee
who is Billing Manager of the clinic and their contact number is 270-715-5437. The primary license number for Pediatric Dentistry Of Southern Kentucky is 9156 (Pediatric Dentistry) in Kentucky.
Pediatric Dentistry Of Southern Kentucky Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of Southern Kentucky Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dentistry Of Southern Kentucky |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 234 Natchez Trace Ave, Bowling Green,
Kentucky, 42103-7995 |
| Phone: | 270-715-5437 |
| Fax: | 270-715-0032 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Shannon Pattee |
| Position: | Billing Manager |
| Contact Number: | 270-715-5437 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dentistry Of Southern Kentucky clinic are as mentioned below.
| NPI Number: | 1083067482 |
| NPI Enumeration Date: | 20 Jul, 2016 |
| NPI Last Update On: | 26 Jun, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of Southern Kentucky are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 9156 | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100429210 | Medicaid | Kentucky | |
| 7100232870 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dentistry Of Southern Kentucky
234 Natchez Trace Ave,
Bowling Green, Kentucky |
| Zip: | 42103-7995 |
| Phone Number: | 270-715-5437 |
| Fax Number: | 270-715-0032 |
Patients can reach Pediatric Dentistry Of Southern Kentucky at
234 Natchez Trace Ave, Bowling Green, Kentucky or can
call to book an appointment on 270-715-5437.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.