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SKY PEDIATRIC DENTISTRY
NPI 1083067482
Dentist - Pediatric Dentistry in Bowling Green, KY

Active since July 20, 2016
234 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103(270) 715-5437(270) 715-0032 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sky Pediatric Dentistry NPPES

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

SKY PEDIATRIC DENTISTRY (NPI 1083067482) is a healthcare organization registered as a pediatric dentistry in Bowling Green, Kentucky and active in the NPI registry since July 2016. The organization maintains a secondary practice location in Hopkinsville and lists Shannon Pattee, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1083067482
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF SOUTHERN KENTUCKY
Location Address234 NATCHEZ TRACE AVEBowling Green, KY 42103-7995
Mailing Address234 Natchez Trace AveBowling Green, KY 42103-7995 · (270) 715-5437 · Fax (270) 715-0032
Phone(270) 715-5437
Fax(270) 715-0032
Organization SubpartNo
Authorized OfficialShannon PatteeBilling Manager · (270) 715-5437
Enumeration DateJuly 20, 2016
Last NPPES UpdateJune 26, 2019
✔ NPI 1083067482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 9156
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.
234 NATCHEZ TRACE AVE, Bowling Green, KY 42103
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Other Names 1

Doing Business AsSky Pediatric Dentistry

Secondary Practice Location 1

Location 1280 Burley AveHopkinsville, KY 42240-8725 · Phone (270) 874-4971 · Fax (270) 874-1063

Other Identifiers 2

Medicaid7100232870KY
Medicaid7100429210KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. AMANDA GAYNOR ASHLEY DMD, MSEDU, MS
Dentist (Pediatric Dentistry)
234 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Warren County (270) 715-5437
DR. MADISON MYERS GALLOWAY DMD, MSD
Dentist (Pediatric Dentistry)
234 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Warren County (270) 590-3407

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 Pediatric Dentistry Of Southern Kentucky's NPI number?

The NPI number for Pediatric Dentistry Of Southern Kentucky is 1083067482. It was assigned to this organization in the NPPES registry on July 20, 2016. The provider is doing business as Sky Pediatric Dentistry.

Where is Pediatric Dentistry Of Southern Kentucky located?

Pediatric Dentistry Of Southern Kentucky is located at 234 Natchez Trace Ave, Bowling Green, KY 42103. The listed phone number is (270) 715-5437.

What is Pediatric Dentistry Of Southern Kentucky's specialty?

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

What insurance does Pediatric Dentistry Of Southern Kentucky accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Of Southern Kentucky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Southern Kentucky was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.