GREATER OWENSBORO PEDIATRIC DENTISTRY, INC
NPI 1013676758
Dentist - Pediatric Dentistry in Owensboro, KY

Q: What is Greater Owensboro Pediatric Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since December 09, 2021

3817 FAIRVIEW DR, OWENSBORO, KY 42303(270) 683-7114 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2023, Dec 9, 2021 (2 updates tracked since 2021).

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About Greater Owensboro Pediatric Dentistry, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATER OWENSBORO PEDIATRIC DENTISTRY, INC (NPI 1013676758) is a healthcare organization registered as a pediatric dentistry in Owensboro, Kentucky and active in the NPI registry since December 2021. The organization lists Blake Dickens, President, as its authorized official.

NPPES Registry Identity

NPI1013676758

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameGREATER OWENSBORO PEDIATRIC DENTISTRY, INC

Location Address3817 FAIRVIEW DROwensboro, KY 42303-2117

Mailing Address3817 Fairview DrOwensboro, KY 42303-2117 · (270) 683-7114

Phone(270) 683-7114

Organization SubpartNo

Authorized OfficialBlake DickensPresident · (270) 683-7114

Enumeration DateDecember 9, 2021

Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2023

✔ NPI 1013676758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3817 FAIRVIEW DR, Owensboro, KY 42303

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE ALLEN DICKENS D.M.D.

Dentist (Pediatric Dentistry)

3817 FAIRVIEW DR
OWENSBORO, KY 42303

Daviess County (270) 993-4076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greater Owensboro Pediatric Dentistry, Inc's NPI number?

The NPI number for Greater Owensboro Pediatric Dentistry, Inc is 1013676758. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Greater Owensboro Pediatric Dentistry, Inc located?

Greater Owensboro Pediatric Dentistry, Inc is located at 3817 Fairview Dr, Owensboro, KY 42303. The listed phone number is (270) 683-7114.

What is Greater Owensboro Pediatric Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Greater Owensboro Pediatric Dentistry, Inc was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.