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NPI 1962010611

OrganizationActive

Bowling Green Pediatric Dentistry PLLC

NPI 1962010611 · Dental Clinic/Center · Bowling Green, KY

Provider details

NPI number: 1962010611
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Matthew Damin, Owner

Practice location

1687 Brianna Ct

Bowling Green, KY 42104-5380

Phone: (270) 316-7555

Fax: (270) 715-0931

More KY providers

Mailing address

1687 Brianna Ct

Bowling Green, KY 42104-5380

Registry dates

Enumerated: 2020-07-20
Last updated: 2025-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bowling Green Pediatric Dentistry PLLC — NPI 1962010611, Bowling Green, KY | NPI Central