Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bowling Green Pediatric Dentistry PLLC

Organization Dental Clinic/Center · NPI 1962010611

Bowling Green Pediatric Dentistry PLLC is a Dental Clinic/Center in Bowling Green, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1687 Brianna Ct
Bowling Green, KY 42104-5380
Phone: (270) 316-7555
Fax: (270) 715-0931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1962010611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Damin — Owner · (270) 316-7555
NPI enumeratedJuly 20, 2020
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address1687 Brianna Ct, Bowling Green, KY 42104-5380

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