OrganizationActive
Pediatric Dentistry of Southern Kentucky
NPI 1083067482 · Pediatric Dentistry · Bowling Green, KY
Pediatric Dentistry of Southern Kentucky is a Pediatric Dentistry organization in Bowling Green, KY (NPI 1083067482).
Provider details
- NPI number
- 1083067482
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shannon Pattee, Billing Manager(270) 715-5437
- License
- 9156 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
234 Natchez Trace Ave
Bowling Green, KY 42103-7995
Phone: (270) 715-5437
Fax: (270) 715-0032
Street-level locationGet directions
Mailing address
234 Natchez Trace Ave
Bowling Green, KY 42103-7995
Other names (DBA / former)
- Doing business as
- Sky Pediatric Dentistry
- Doing business as
- Sky Pediatric Dentistry
Additional practice locations (1)
- 280 Burley AveHopkinsville, KY 42240-8725Phone: (270) 874-4971Fax: (270) 874-1063
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2019-06-26
Frequently asked questions
- What is Pediatric Dentistry of Southern Kentucky's NPI number?
- Pediatric Dentistry of Southern Kentucky's National Provider Identifier (NPI) is 1083067482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Southern Kentucky?
- Pediatric Dentistry of Southern Kentucky is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Southern Kentucky located?
- Pediatric Dentistry of Southern Kentucky's practice location on file with NPPES is 234 Natchez Trace Ave, Bowling Green, KY 42103-7995.
- What is Pediatric Dentistry of Southern Kentucky's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Southern Kentucky is (270) 715-5437.
- Who is the authorized official for Pediatric Dentistry of Southern Kentucky?
- The authorized official listed on Pediatric Dentistry of Southern Kentucky's NPPES record is Shannon Pattee, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Southern Kentucky's NPI active?
- Yes — Pediatric Dentistry of Southern Kentucky's NPI (1083067482) is active in the NPPES registry as of the last update on 2019-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.