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Pediatric Dentistry of Southern Kentucky

Pediatric Dentistry in Bowling Green, KY · enumerated 2016 · authorized official Shannon Pattee, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083067482

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Dentistry of Southern Kentucky
Other name <Unavail>
Practice address 234 Natchez Trace Ave, Bowling Green, KY, 42103
Fax (270) 715-0032
Enumeration date Jul 20, 2016
Last updated in NPPES Jun 26, 2019

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 9156 (KY) Primary

Authorized official

Name Shannon Pattee
Title Billing Manager

Other identifiers

Identifier Type State Issuer
7100429210 Medicaid KY -
7100232870 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pediatric Dentistry of Southern Kentucky located?
The practice location on file with NPPES is in Bowling Green, KY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-26. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-26.