# BLISS UNITED DENTAL SERVICES DBA OWENSBORO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457637043
- **Authorized official:** DR. JASON L PENDLEY DMD (OWNER)
- **Authorized official phone:** (270) 926-0190

## Contact information

- **Practice address:** 4921 GOETZ DR., OWENSBORO, KY 42301
- **Practice address phone:** (270) 926-0190
- **Mailing address:** 4921 GOETZ DR., OWENSBORO, KY 42301
- **Mailing address phone:** (270) 926-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8635 | KY | Yes |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 10/26/2011