DRS ERIN AND RANDY ELLIOTT PEDIATRIC DENTISTRY
NPI 1821107442
Dentist - Pediatric Dentistry in Bowling Green, KY

Active since August 29, 2006
120 CALLAWAY COURT, BOWLING GREEN, KY 42103(270) 782-0716(270) 746-9603 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Drs Erin And Randy Elliott Pediatric Dentistry NPPES

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

DRS ERIN AND RANDY ELLIOTT PEDIATRIC DENTISTRY (NPI 1821107442) is a healthcare organization registered as a pediatric dentistry in Bowling Green, Kentucky and active in the NPI registry since August 2006. The organization lists Randy H Elliott, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1821107442
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDRS ERIN AND RANDY ELLIOTT PEDIATRIC DENTISTRY
Location Address120 CALLAWAY COURTBowling Green, KY 42103
Mailing Address120 Callaway CourtBowling Green, KY 42103 · (270) 782-0716 · Fax (270) 746-9603
Fax(270) 746-9603
Organization SubpartNo
Authorized OfficialRandy H ElliottDoctor Owner · (270) 782-0716
Enumeration DateAugust 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821107442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in KY · 7717✔ Licensed in KY · 7232
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.
120 CALLAWAY COURT, Bowling Green, KY 42103

Other Identifiers 1

Medicaid60-001716KY

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 MULTIPLE 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.

Dentist (Pediatric Dentistry)
120 CALLAWAY COURT
BOWLING GREEN, KY 42103

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 Drs Erin And Randy Elliott Pediatric Dentistry's NPI number?

The NPI number for Drs Erin And Randy Elliott Pediatric Dentistry is 1821107442. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Drs Erin And Randy Elliott Pediatric Dentistry located?

Drs Erin And Randy Elliott Pediatric Dentistry is located at 120 Callaway Court, Bowling Green, KY 42103. The listed phone number is (270) 782-0716.

What is Drs Erin And Randy Elliott Pediatric Dentistry'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 Drs Erin And Randy Elliott Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.