OrganizationActive
Pediatric Dentistry of Southern Kentucky
NPI 1083067482 · Pediatric Dentistry · Bowling Green, KY
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
9 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.