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

Greater Owensboro Pediatric Dentistry, Inc

Organization Pediatric Dentistry · NPI 1013676758

Greater Owensboro Pediatric Dentistry, Inc is a Pediatric Dentistry in Owensboro, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3817 Fairview Dr
Owensboro, KY 42303-2117
Phone: (270) 683-7114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1013676758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Dickens — President · (270) 683-7114
NPI enumeratedDecember 9, 2021
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address3817 Fairview Dr, Owensboro, KY 42303-2117

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