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BOWLING GREEN PEDIATRIC DENTISTRY PLLC
NPI 1962010611
Clinic/Center - Dental in Bowling Green, KY

Active since July 20, 2020
1687 BRIANNA CT, BOWLING GREEN, KY 42104(270) 316-7555(270) 715-0931 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Jul 23, 2020 (2 updates tracked since 2020).

About Bowling Green Pediatric Dentistry Pllc NPPES

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

BOWLING GREEN PEDIATRIC DENTISTRY PLLC (NPI 1962010611) is a healthcare organization registered as a dental in Bowling Green, Kentucky and active in the NPI registry since July 2020. The organization lists Matthew Damin, Owner, as its authorized official.

NPPES Registry Identity

NPI1962010611
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOWLING GREEN PEDIATRIC DENTISTRY PLLC
Location Address1687 BRIANNA CTBowling Green, KY 42104-5380
Mailing Address1687 Brianna CtBowling Green, KY 42104-5380 · (270) 316-7555 · Fax (270) 715-0931
Phone(270) 316-7555
Fax(270) 715-0931
Organization SubpartNo
Authorized OfficialMatthew DaminOwner · (270) 316-7555
Enumeration DateJuly 20, 2020
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1962010611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1687 BRIANNA CT, Bowling Green, KY 42104
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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 Bowling Green Pediatric Dentistry PLLC's NPI number?

The NPI number for Bowling Green Pediatric Dentistry PLLC is 1962010611. It was assigned to this organization in the NPPES registry on July 20, 2020.

Where is Bowling Green Pediatric Dentistry PLLC located?

Bowling Green Pediatric Dentistry PLLC is located at 1687 Brianna Ct, Bowling Green, KY 42104. The listed phone number is (270) 316-7555.

What is Bowling Green Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bowling Green Pediatric Dentistry PLLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.