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

Pediatric Dentistry of Southern Kentucky

Organization Pediatric Dentistry · NPI 1083067482

Pediatric Dentistry of Southern Kentucky is a Pediatric Dentistry in Bowling Green, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2016

Practice location Address checks out

234 Natchez Trace Ave
Bowling Green, KY 42103-7995
Phone: (270) 715-5437
Fax: (270) 715-0032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 Burley Ave, Hopkinsville, KY 42240-8725 — (270) 874-4971

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9156 (KY)

Record details

NPI number1083067482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Pattee — Billing Manager · (270) 715-5437
Other names Sky Pediatric Dentistry; Sky Pediatric Dentistry
NPI enumeratedJuly 20, 2016
Last updated in NPPESJune 26, 2019
Mailing address234 Natchez Trace Ave, Bowling Green, KY 42103-7995

Other providers in Bowling Green